Individual provider Active NPI

Teisha Patricia Brown, MA, NCC, LPC, CCTP

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1386144103
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011759 Issued in PA
Practice address
4919 Pentridge St
Philadelphia, PA 19143-3320
Phone
(215) 948-9417
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011759 PA Primary

Addresses

Primary practice location

4919 Pentridge St
Philadelphia, PA 19143-3320

Mailing address

1554 N Wanamaker St
Philadelphia, PA 19131-3828
Phone (679) 784-3212

Other practice location 1

1740 South St Ste 403
Philadelphia, PA 19146-1514
Phone (215) 990-4390

Other practice location 2

491 Allendale Rd Ste 301
King Of Prussia, PA 19406-1432
Phone (610) 265-3400

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC011759PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Joy Counseling & Consulting Services CurrentSince Jan 31, 2021 Accepting new patients
Peacetree Counseling and Consulting LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1386144103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 N WANAMAKER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313828",
            "telephone_number": "679-784-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 PENTRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433320",
            "telephone_number": "215-948-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 South St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191461514",
            "country_code": "US",
            "telephone_number": "215-990-4390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "491 Allendale Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061432",
            "country_code": "US",
            "telephone_number": "610-265-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TEISHA",
        "middle_name": "PATRICIA",
        "credential": "MA, NCC, LPC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.