Brandie Tero Kohn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C9257 Issued in MS

Practice address

411 Maryland Ave Ofc B
McComb, MS 39648-3966

Phone

(601) 395-3616

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aspire Counseling, LLC

  • Clinical Social Worker
  • McComb, MS
  • NPI 1396497814
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1518619022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MARYLAND AVE OFC B",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483966",
            "telephone_number": "601-395-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MARYLAND AVE OFC B",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483966",
            "telephone_number": "601-395-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 S Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396013331",
            "country_code": "US",
            "telephone_number": "601-395-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHN",
        "first_name": "BRANDIE",
        "middle_name": "TERO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosie L King, PCMHT
• King's Discount Drugs Inc
• Kings Disc Drugs
• Tisa Kittrell
• Lauren Kizziar
• Nileshkumar Kantilal Kothari, M.D.
• Rishi Kumar, MD
• Lisa Lamb
• Anna Jones Lambert, MA CCC-SLP
• Jason Todd Lane, CRNA

• Clinical Social Worker in McComb, MS
• Providers in McComb, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.