Corrie Brewton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT001555 Issued in GA

Practice address

3905 Johns Creek CT Ste 260
Suwanee, GA 30024-1226

Phone

(770) 753-0350

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

No

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.

• Paraclete Counseling Center, Inc

  • Professional Counselor
  • Suwanee, GA
  • NPI 1972641538
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2017.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1497271746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT STE 260",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241226",
            "telephone_number": "770-753-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT STE 260",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241226",
            "telephone_number": "770-753-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWTON",
        "first_name": "CORRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009629",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MFT001555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC009629",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "MFT001555",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breathe Beauty la
• Riana Brevitt, RBT
• Dale Robert Brewer
• Sara Ann Brewer, PA
• Lauren Gigi Brewington, M.D., M.S.
• Carolyn K Broner, BCBA
• Charistma Brown, RBT
• Denise Allen Brown, D.M.D.
• Glenda B Brown, OD
• Kenneth Brown II

• All providers in Suwanee, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.

Verify at the official NPI Registry.