Active NPI
Teisha Patricia Brown, MA, NCC, LPC, CCTP
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1386144103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011759
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PC011759 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Joy Counseling & Consulting Services | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1639760101
-
- Clinical Psychologist
- Wayne, PA
- NPI 1447606843
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.