Individual provider Active NPI

Melissa Brown, LPC

  • Professional Counselor
  • Peachtree Corners, GA
National Provider Identifier
1326451667
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008843 Issued in GA
Practice address
3867 Holcomb Bridge Rd Ste 700
Peachtree Corners, GA 30092-2210
Phone
(404) 775-3050
NPI assigned
Jun 4, 2014
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC008843 GA
Professional Counselor 101YP2500X LPC008843 GA Primary

Addresses

Primary practice location

3867 Holcomb Bridge Rd Ste 700
Peachtree Corners, GA 30092-2210

Mailing address

8213 McKenzie PL
Lithonia, GA 30058-5293
Phone (404) 775-3050

Other practice location 1

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (678) 209-2394

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC008843GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Place to Grow Counseling and Consulting Services Professional CurrentSince Apr 20, 2021 Accepting new patients

Locations

850 Dogwood Rd
Ste B200
Lawrenceville, GA 30044
Phone (678) 837-5134

3867 Holcomb Bridge Rd
Ste 700
Peachtree Corners, GA 30092
Phone (404) 775-3050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1326451667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 MCKENZIE PL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585293",
            "telephone_number": "404-775-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 HOLCOMB BRIDGE RD STE 700",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922210",
            "telephone_number": "404-775-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Gwinnett Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468444",
            "country_code": "US",
            "telephone_number": "678-209-2394",
            "fax_number": "678-212-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008843",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.