Active NPI
Anna Nicole Brown, BSW
- Addiction (Substance Use Disorder) Counselor
- Kennesaw, GA
National Provider Identifier
1619699709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2025 Jebs CT NW
Kennesaw, GA 30144-2881 - Phone
- (706) 853-5149
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
2025 Jebs CT NW
Kennesaw, GA 30144-2881
Mailing address
2025 Jebs CT NW
Kennesaw, GA 30144-2881
Phone (706) 853-5149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | GA | |
| 000000000 | Other | GA | SUBSTANCE ABUSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1619699709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 JEBS CT NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442881",
"telephone_number": "706-853-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 JEBS CT NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442881",
"telephone_number": "706-853-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANNA",
"middle_name": "NICOLE",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE",
"identifier": "000000000",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.