Individual provider Active NPI

Darrell D. Brown, M.S.

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1417165598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
200039550 Issued in IN
Practice address
3833 N Meridian St Ste 320
Indianapolis, IN 46208-4059
Phone
(317) 506-2251
Fax
(317) 335-9043
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 200039550 IN Primary

Addresses

Primary practice location

3833 N Meridian St Ste 320
Indianapolis, IN 46208-4059

Mailing address

3833 N Meridian St Ste 320
Indianapolis, IN 46208-4059
Phone (317) 506-2251

Other identifiers 1

IdentifierTypeStateIssuer
200855850AMedicaidIN

Other names 1

  • Mr. Darrell D. Brown Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
200039550INMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Behavioral Service LLC Current Accepting new patients

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417165598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 N MERIDIAN ST STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084059",
            "telephone_number": "317-506-2251",
            "fax_number": "317-335-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 N MERIDIAN ST STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084059",
            "telephone_number": "317-506-2251",
            "fax_number": "317-335-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DARRELL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "200039550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200855850A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARRELL",
            "last_name": "BROWN",
            "middle_name": "D.",
            "prefix": "MR.",
            "credential": "M.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.