Active NPI
Kathleen E Brown, LPC
- Professional Counselor
- Longview, TX
National Provider Identifier
1326057159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17869
- Practice address
- 911 W Loop 281
Suite 302
Longview, TX 75604-2900 - Phone
- (903) 759-2402
- Fax
- (903) 759-2570
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17869 | TX | Primary |
Addresses
Primary practice location
911 W Loop 281
Suite 302
Longview, TX 75604-2900
Mailing address
911 W Loop 281
Suite 302
Longview, TX 75604-2900
Phone (903) 759-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17869 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326057159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 W LOOP 281",
"address_2": "SUITE 302",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042900",
"telephone_number": "903-759-2402",
"fax_number": "903-759-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W LOOP 281",
"address_2": "SUITE 302",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042900",
"telephone_number": "903-759-2402",
"fax_number": "903-759-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.