Active NPI
Kiavanna L Brown
- Professional Counselor
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10290
- Practice address
- 651 Scholar Way Ste 101
Summerville, SC 29486-3052 - Phone
- (843) 501-1099
- NPI assigned
- Feb 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 10290 | SC | Primary |
Addresses
Primary practice location
651 Scholar Way Ste 101
Summerville, SC 29486-3052
Mailing address
PO Box 1561
Red Oak, GA 30272-1561
Phone (863) 244-3998
Other practice location 1
1030 Fayetteville Rd SE
Atlanta, GA 30316-2921
Phone (863) 244-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114003751 | SC | Practitioner - Mental Health Counselor | 7416485792 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Charleston Counseling Center PC
Practice addresses (Care Compare)
651 Scholar Way
Suite 101
Summerville, SC 29486-3052
Phone (630) 884-9012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10290 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Counseling Center PC | Mental Health | Current | Accepting new patients |
| Socalm LLC | Professional | Current | Accepting new patients |
| Myrtle Beach Counseling Center | Mental Health | Past | Accepting new patients |
Locations
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
651 Scholar Way
Ste 101
Summerville, SC 29486
Phone (630) 884-9012
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
Mental Health, SC
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1508511809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1561",
"city": "RED OAK",
"state": "GA",
"postal_code": "302721561",
"telephone_number": "863-244-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 SCHOLAR WAY STE 101",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294863052",
"telephone_number": "843-501-1099"
}
],
"practiceLocations": [
{
"address_1": "1030 Fayetteville Rd SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303162921",
"country_code": "US",
"telephone_number": "863-244-3998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KIAVANNA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.