Douglas E. Brown, LAC, LISAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-16190 Issued in AZ

Practice address

4202 N 32ND St Ste I
Phoenix, AZ 85018-4765

Phone

(602) 478-1880

NPI assigned

Jun 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1528635299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 N 32ND ST STE I",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184765",
            "telephone_number": "602-478-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 N 32ND ST STE I",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184765",
            "telephone_number": "602-478-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DOUGLAS",
        "middle_name": "E.",
        "credential": "LAC, LISAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-16190",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doug@douglasebrowncounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4202 N 32nd St Ste I",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850184765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra L Brown, R.N.
• Delana Prosperie Brown, FNP-C
• Desaray Brown, LMSW
• Donald Eugene Brown, PHARM D.
• Dorianne Brown
• Edward Brown
• Elizabeth N Brown, D.O.
• Emily Anne Brown, OTR/L
• Eric Brown, DPT
• Gail D Brown

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.