Carl Brown
Individual provider Active NPI Professional Counselor · Elkin, NC
NPI 1316976384 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316976384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 804 (NC)
- Practice address
- 119 W Main St
Elkin, NC 28621-3432 - Phone
- (336) 526-8335
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|
| 804 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 804 | NC | Yes |
Addresses
Primary practice location
119 W Main St
Elkin, NC 28621-3432
Mailing address
9064 Jefferson Woods Dr
Rural Hall, NC 27045-9591
Phone (336) 526-8335
Other providers in Elkin, NC
- Kala Brown Brewer
- Bridge Street Pharmacy Inc
- Bridge Street Pharmacy Inc
- Bridge Street Pharmacy, Inc
- BRMG-PC
- Henry Stephen Brown
- Melissa Willard Bryant
- BT Heart and Vascular Center, PLLC
- Evan Buck
- Brad Alen Bushong
All providers in Elkin, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.