Sherita Prelow Brown-Mims, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5664 Issued in LA

Practice address

6042 Alaska LN
Shreveport, LA 71107-2004

Phone

(318) 780-2335

Fax

(318) 489-4217

NPI assigned

Nov 6, 2019

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autumn Creek Health Solutions Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1982058756

  Professional

  NPD (past)
• Forever Healthcare Inc.

  • Home Health Agency
  • Shreveport, LA
  • NPI 1801458781
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1386288900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 ALASKA LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072004",
            "telephone_number": "318-780-2335",
            "fax_number": "318-489-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 ALASKA LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072004",
            "telephone_number": "318-780-2335",
            "fax_number": "318-489-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2924 Knight St Ste 426",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052414",
            "country_code": "US",
            "telephone_number": "318-754-3560",
            "fax_number": "318-779-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-MIMS",
        "first_name": "SHERITA",
        "middle_name": "PRELOW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Broussard, D.O.
• Marlene Marie Broussard, M.D.
• Philip Brandon Broussard I, CIT
• Sherry Broussard, MA
• Misty Brower
• Rukiya Brown-Williams, LPC, LAC, LMHP
• Alesia Brown
• Alexis M Brown
• Amanda Lee Brown, LMSW
• Andrea Lekesha Brown

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.