Individual provider Active NPI

Daisy Annette Jones-Brown, LPC-S

  • Mental Health Counselor
  • Columbus, MS
National Provider Identifier
1639714488
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0994 Issued in MS
Practice address
3504 Bluecutt Rd
Columbus, MS 39705-1325
Phone
(701) 213-6792
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0994 MS Primary

Addresses

Primary practice location

3504 Bluecutt Rd
Columbus, MS 39705-1325

Mailing address

255 Mockingbird LN
Caledonia, MS 39740-9251
Phone (701) 213-6792

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

State licenses

LicenseStateTypeSpecialty
0994MSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1639714488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MOCKINGBIRD LN",
            "city": "CALEDONIA",
            "state": "MS",
            "postal_code": "397409251",
            "telephone_number": "701-213-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 BLUECUTT RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051325",
            "telephone_number": "701-213-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-BROWN",
        "first_name": "DAISY",
        "middle_name": "ANNETTE",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "0994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.