Madonna Brown, NCC, LPC, CCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7277 Issued in NC

Practice address

1503-H Wayne Memorial Dr
Goldsboro, NC 27534-2231

Phone

(919) 330-4576

Fax

(919) 581-5017

NPI assigned

Jan 21, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Recovery Services PLLC

  • Professional Counselor
  • Goldsboro, NC
  • NPI 1538582259
  Medicare reassignment NPD Authorized official
• Life Recovery Psychological Services

  • Professional Counselor
  • Goldsboro, NC
  • NPI 1144595265
  NPD (past) Authorized official

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1396982880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10494",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275320494",
            "telephone_number": "919-440-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503-H WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342231",
            "telephone_number": "919-330-4576",
            "fax_number": "919-581-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MADONNA",
        "name_prefix": "Mrs.",
        "credential": "NCC, LPC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wrenn Brotzman, PA-C
• Brooke Ashley Brown-Pollard, LPCA
• Charlonda Brown
• Donald E Brown Jr.
• Jeffery Brown
• Meredith Elayne Brown, MD
• Bonnie Mae Bruce, CNM
• Michael Sinclair Bryan, O.D.
• Bryant Home Care Solutions LLC
• Wanda Sue Bryant, LCSW

• Professional Counselor in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.