Active NPI
Marci Brown-Gilpin, LCSW
- Mental Health Counselor
- Black Canyon City, AZ
National Provider Identifier
1265538474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW-10086
- Practice address
- 18850 E School House Rd
3
Black Canyon City, AZ 85324-8787 - Phone
- (602) 819-6787
- Fax
- (815) 331-5323
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW-10086 | AZ | Primary |
Addresses
Primary practice location
18850 E School House Rd
3
Black Canyon City, AZ 85324-8787
Mailing address
PO Box 635
Black Canyon City, AZ 85324-0635
Phone (602) 819-6787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-10086 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1265538474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635",
"city": "BLACK CANYON CITY",
"state": "AZ",
"postal_code": "853240635",
"telephone_number": "602-819-6787",
"fax_number": "815-331-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18850 E SCHOOL HOUSE RD",
"address_2": "3",
"city": "BLACK CANYON CITY",
"state": "AZ",
"postal_code": "853248787",
"telephone_number": "602-819-6787",
"fax_number": "815-331-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-GILPIN",
"first_name": "MARCI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LCSW-10086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Black Canyon City, AZ
- Black Canyon City Dentistry LLC
- Black Canyon Community Health Center, Inc.
- Black Canyon Community Health Center, Inc.
- Black Canyon Fire District (Black Canyon Fire Department)
- Black Canyon Physical Therapy, PLLC
- Canon Elementary School District
- Canyon Medical Clinic LLC
- Emd Medical Services LLC (Cherry Family Practice)
- Randy Charles Hancock, DO
- Home Health Services, PLLC (Midstate Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.