Individual provider Active NPI

Erin Brown, LMHC, LMFT

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1386199412
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11429 Issued in FL
Practice address
2720 Park St
Suite 215
Jacksonville, FL 32205-7644
Phone
(352) 219-1045
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 MH11429 FL Primary
Marriage & Family Therapist 106H00000X MT2740 FL

Addresses

Primary practice location

2720 Park St
Suite 215
Jacksonville, FL 32205-7644

Mailing address

2054 Riverside Ave
Apt 5209
Jacksonville, FL 32204-4428
Phone (352) 219-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002711 FL Practitioner - Marriage and Family Therapist 6204361389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greener Side Counseling, LLCGroup PAC ID 8527599059, 5 clinicians

Practice addresses (Care Compare)

9957 Moorings Dr
Suite 302
Jacksonville, FL 32257-2415
Phone (888) 793-2304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH11429FLMDMental Health Counselor
MT2740FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greener Side Counseling, LLC Mental Health CurrentSince Sep 20, 2024 Accepting new patients

Locations

9957 Moorings Dr
Ste 302
Jacksonville, FL 32257
Phone (888) 793-2304

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1386199412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 RIVERSIDE AVE",
            "address_2": "APT 5209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044428",
            "telephone_number": "352-219-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 PARK ST",
            "address_2": "SUITE 215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057644",
            "telephone_number": "352-219-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ERIN",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11429",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.