Active NPI
Tina Alicea Brown, LPC
- Professional Counselor
- Copperas Cove, TX
National Provider Identifier
1487715678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61259
- Practice address
- 1003 West Hwy 190
Copperas Cove, TX 76522 - Phone
- (254) 458-8988
- Fax
- (512) 556-2191
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61259 | TX | Primary |
Addresses
Primary practice location
1003 West Hwy 190
Copperas Cove, TX 76522
Mailing address
5607 Denver Dr
Killeen, TX 76542-4423
Phone (254) 458-8988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61259 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1487715678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 DENVER DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765424423",
"telephone_number": "254-458-8988",
"fax_number": "512-556-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WEST HWY 190",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "76522",
"telephone_number": "254-458-8988",
"fax_number": "512-556-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TINA",
"middle_name": "ALICEA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.