Active NPI
Marie Harris Brown, EDD
- Professional Counselor
- Midlothian, VA
National Provider Identifier
1306837547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000703
- Practice address
- 13801 Village Mill Dr
Ste 105
Midlothian, VA 23114-4382 - Phone
- (804) 937-0628
- NPI assigned
- Nov 4, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701000703 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000916 | VA |
Addresses
Primary practice location
13801 Village Mill Dr
Ste 105
Midlothian, VA 23114-4382
Mailing address
PO Box 848
Midlothian, VA 23113-0848
Phone (804) 937-0628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125001765 | VA | Practitioner - Marriage and Family Therapist | 7517310667 | Practice locations: Midlothian, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13801 Village Mill Dr
Suite 105
Midlothian, VA 23114-4382
Phone (804) 379-8587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701000703 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1306837547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231130848",
"telephone_number": "804-937-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 VILLAGE MILL DR",
"address_2": "STE 105",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231144382",
"telephone_number": "804-937-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARIE",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000703",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.