Jernae Dickens-Brown
Individual provider Active NPI Mental Health Counselor · Washington, DC
NPI 1235601337 · NPPES record last updated Nov 12, 2022
Key facts
- NPI
- 1235601337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PRC200001390 (DC)
- Practice address
- 1050 30TH St NW # 107
Washington, DC 20007-3822 - Phone
- (301) 640-0300
- NPI assigned
- Dec 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC200001390 | DC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.E. Beautiful Mind, LLC | Current |
Accepting new patients |
Locations
1050 30th St NW
#107
Washington, DC 20007
Phone (301) 640-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC200001390 | DC | |
| Mental Health Counselor | 101YM0800X | PRC200001390 | DC | Yes |
Addresses
Primary practice location
1050 30TH St NW # 107
Washington, DC 20007-3822
Mailing address
3210 Winterbourne Dr
Upper Marlboro, MD 20774-9084
Phone (302) 640-0300
Other providers in Washington, DC
- Soraya Diblassio
- Roland Dibo
- Jennifer Juliet Dicanio
- Elissa Dicarlo
- Suzannah Dichter
- Mikea Dickens-Gibson
- Duane Andrew Dickens
- Eleanor Dickens
- Jonathan Frederick Dickens
- Lenoris Allen Dickens
All providers in Washington, DC · Mental Health Counselor in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.