Active NPI
Joann Cheryel Brown, BA, LSW
- Addiction (Substance Use Disorder) Counselor
- Warren, MI
National Provider Identifier
1508012212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6802084543
- Practice address
- 23700 Van Dyke Ave
Warren, MI 48089-1600 - Phone
- (586) 758-6670
- Fax
- (586) 758-0243
- NPI assigned
- Aug 13, 2008
- Last updated
- Aug 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6802084543 | MI | Primary |
Addresses
Primary practice location
23700 Van Dyke Ave
Warren, MI 48089-1600
Mailing address
20005 Mansfield St
Detroit, MI 48235-2371
Phone (313) 207-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500371 | Medicaid | MI |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802084543 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1508012212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20005 MANSFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352371",
"telephone_number": "313-207-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23700 VAN DYKE AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480891600",
"telephone_number": "586-758-6670",
"fax_number": "586-758-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOANN",
"middle_name": "CHERYEL",
"credential": "BA, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6802084543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500371",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.