Active NPI
Ann Marie Brown, LMHC, NCC
- Mental Health Counselor
- Port Jervis, NY
National Provider Identifier
1447404736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002430
- Practice address
- 136 Jersey Avenue, Suite 1
Port Jervis, NY 12771 - Phone
- (845) 249-1296
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002430 | NY | Primary |
Addresses
Primary practice location
136 Jersey Avenue, Suite 1
Port Jervis, NY 12771
Mailing address
136 Jersey Avenue, Suite 1
Port Jervis, NY 12771
Phone (845) 249-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 4, 2024 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1447404736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 JERSEY AVENUE, SUITE 1",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "12771",
"telephone_number": "845-249-1296",
"fax_number": "845-856-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 JERSEY AVENUE, SUITE 1",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "12771",
"telephone_number": "845-249-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANN MARIE",
"credential": "LMHC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jervis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.