Individual provider Active NPI

Trish Marie Brown, MA, SCL, LPC, NCC

  • Professional Counselor
  • Clarkston, MI
National Provider Identifier
1225291370
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010527 Issued in MI
Practice address
7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone
(248) 791-9266
Fax
(248) 392-2601
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 246463 MI
Professional Counselor 101YP2500X L1332361 MI
Professional Counselor 101YP2500X 6401010527 MI Primary

Addresses

Primary practice location

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095

Mailing address

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone (248) 791-9266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
L1332361MIMDProfessional Counselor
246463MIMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovations by Gomes Incorporated CurrentSince May 16, 2024 Accepting new patients

Locations

7640 Dixie Hwy
Ste 155
Clarkston, MI 48346
Phone (248) 791-9266

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1225291370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-791-9266",
            "fax_number": "248-392-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-791-9266",
            "fax_number": "248-392-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TRISH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, SCL, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "246463",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1332361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.