Individual provider Active NPI

Tonya Lynn Sumner Brown, M.DIV., LPC, LPCT,

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1639496169
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1 W Court SQ Ste 750
Decatur, GA 30030-2538
Phone
(678) 978-9391
Fax
(770) 538-1716
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1 W Court SQ Ste 750
Decatur, GA 30030-2538

Mailing address

3982 Misty LK
Ellenwood, GA 30294-1164
Phone (404) 316-0226

Other practice location 1

4153 Flat Shoals Pkwy Bldg C
Decatur, GA 30034-4106
Phone (678) 978-9391

Other practice location 2

1 W Court Sq Ste 750
Decatur, GA 30030-2538
Phone (678) 978-9391

Other practice location 3

One West Court Square, Suite 750, Office #747
Decatur, GA 30030
Phone (678) 978-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240419002600 GA Practitioner - Mental Health Counselor 9335588565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Operation Street Harvest, Inc. Dba Ga Black Licensed Assoc. Counselors Mental Health Past Accepting new patients
Operation Street Harvest, Inc. / Dba: a Love Counseling Center Mental Health Past Accepting new patients
A Love Counseling Center, LLC Mental Health Past Accepting new patients
Alove Counseling Center Professional Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1639496169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 MISTY LK",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941164",
            "telephone_number": "404-316-0226",
            "fax_number": "770-538-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302538",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4153 Flat Shoals Pkwy Bldg C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300344106",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 W Court Sq Ste 750",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302538",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One West Court Square, Suite 750, Office #747",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "30030",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMNER BROWN",
        "first_name": "TONYA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.DIV., LPC, LPCT,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.