Organization Active NPI

Amy a Brown, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Summerville, SC
National Provider Identifier
1417744301
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMY A BROWN, LLC
Practice address
89 Old Trolley Rd Ste 101B
Summerville, SC 29485-4955
Phone
(704) 524-5005
NPI assigned
Apr 23, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Ms. Amy Austin Brown, LISW-CPNPI 1477395986
Title
Therapist
Phone
(704) 524-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

89 Old Trolley Rd Ste 101B
Summerville, SC 29485-4955

Mailing address

PO Box 223
Moncks Corner, SC 29461-0223
Phone (704) 524-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250630002908 SC Part B Supplier - Clinic/Group Practice 0244743599 Receives reassigned benefits from 1 practitioner
Practice locations: Summerville, SC

National Provider Directory

National Provider Directory

Locations

89 Old Trolley Rd
Ste 101B
Summerville, SC 29485
Phone (704) 524-5005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1417744301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294610223",
            "telephone_number": "704-524-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 101B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854955",
            "telephone_number": "704-524-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY A BROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "704-524-5005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.