Active NPI
James Edward Brown Jr., L.P.C,
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1437467925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1550
- Practice address
- 7825 Ballantyne Commons Pkwy
Suite 110
Charlotte, NC 28277-3174 - Phone
- (704) 446-0271
- Fax
- (704) 348-4057
- NPI assigned
- Sep 17, 2010
- Last updated
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1550 | NC | Primary |
| Professional Counselor | 101YP2500X | 3267 | NC |
Addresses
Primary practice location
7825 Ballantyne Commons Pkwy
Suite 110
Charlotte, NC 28277-3174
Mailing address
PO Box 601372
Charlotte, NC 28260-1372
Phone (704) 446-0271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437467925 | Medicaid | NC | |
| PC1554 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2301 Cove Ave
La Grande, OR 97850-3906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1550 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Human Development, Inc. | Current | Accepting new patients |
Locations
2301 Cove Ave
La Grande, OR 97850
Phone (541) 962-8800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- La Grande, OR
- NPI 1114051315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1437467925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601372",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601372",
"telephone_number": "704-446-0271",
"fax_number": "704-348-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 BALLANTYNE COMMONS PKWY",
"address_2": "SUITE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773174",
"telephone_number": "704-446-0271",
"fax_number": "704-348-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.P.C,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1550",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3267",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437467925",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1554",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.