Individual provider Active NPI

Annisa Brown

  • Counselor
  • Lancaster, OH
National Provider Identifier
1679038087
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2102550 Issued in OH
Practice address
1550 Sheridan Dr Ste 202
Lancaster, OH 43130-1380
Phone
(740) 808-8371
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2102550 OH Primary

Addresses

Primary practice location

1550 Sheridan Dr Ste 202
Lancaster, OH 43130-1380

Mailing address

1550 Sheridan Dr Ste 202
Lancaster, OH 43130-1380
Phone (740) 808-8371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240206002444 OH Practitioner - Mental Health Counselor 5991148025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Mental Health Services IncGroup PAC ID 5597799262, 15 clinicians

Practice addresses (Care Compare)

2652 Kull Rd
Lancaster, OH 43130-7707
Phone (740) 687-0835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Mental Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Resilient Pathways Counseling, LLC Counselor CurrentSince Nov 2, 2025 Accepting new patients
New Horizons Mental Health Services, Inc. Past Accepting new patients

Locations

2652 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6733

1592 Granville Pike
Lancaster, OH 43130
Phone (740) 687-0835

2660 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6166

2680 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6166

230 N Columbus St
Ste B
Lancaster, OH 43130
Phone (740) 901-3178

1550 Sheridan Dr
Ste 202
Lancaster, OH 43130
Phone (740) 654-0232

12943 Stonecreek Dr
Pickerington, OH 43147
Phone (740) 687-0835

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1679038087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR STE 202",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301380",
            "telephone_number": "740-808-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR STE 202",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301380",
            "telephone_number": "740-808-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANNISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2102550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.