Individual provider Active NPI

Shauna Brown, LPC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1407277676
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14459 Issued in AZ
Practice address
2950 S Alma School Rd Ste 8
Mesa, AZ 85210-4036
Phone
(480) 562-7480
Fax
(480) 359-2468
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14459 AZ Primary

Addresses

Primary practice location

2950 S Alma School Rd Ste 8
Mesa, AZ 85210-4036

Mailing address

8205 S. Priest Dr. Unit 12542
Tempe, AZ 85284
Phone (480) 562-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260506002696 AZ Practitioner - Mental Health Counselor 1355819491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3188 W Thomas Rd
Suite 712
Pho, AZ 85017-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14459AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shauna Brown, LLC Mental Health CurrentSince Jul 17, 2021 Accepting new patients
4 The Love of Self Current Accepting new patients

Locations

2950 S Alma School Rd
Ste 10
Mesa, AZ 85210
Phone (480) 562-7480

2950 S Alma School Rd
Ste 8
Mesa, AZ 85210
Phone (480) 562-7480

8205 S Priest Dr
Unit 12542
Tempe, AZ 85284

Organizations & group practices 3

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1407277676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 S. PRIEST DR. UNIT 12542",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "480-562-7480",
            "fax_number": "520-421-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S ALMA SCHOOL RD STE 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104036",
            "telephone_number": "480-562-7480",
            "fax_number": "480-359-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAUNA",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "14459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.