Individual provider Active NPI

Colin Mackinley Browne Sr., LCPC

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1679703938
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2966 Issued in MD
Practice address
4035 Cressida PL
Woodbridge, VA 22192-7620
Phone
(850) 377-5388
NPI assigned
Jul 21, 2009
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2966 MD Primary

Addresses

Primary practice location

4035 Cressida PL
Woodbridge, VA 22192-7620

Mailing address

4035 Cressida PL
Woodbridge, VA 22192-7620
Phone (850) 377-5388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250902003052 MD Practitioner - Mental Health Counselor 4183998347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lca Psychological Associates LLCGroup PAC ID 5294009973, 4 clinicians

Practice addresses (Care Compare)

11315 Pembrooke SQ
Suite 112a
Waldorf, MD 20603-4806
Phone (850) 377-5389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC2966MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lca Psychological Associates, LLC Professional CurrentSince May 28, 2010 Accepting new patients
Lca Psychological Associates, LLC Professional PastSince Feb 24, 2022 Accepting new patients

Locations

11315 Pembrooke Sq
Ste 112A
Waldorf, MD 20603
Phone (301) 645-2233

Organizations & group practices 2

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1679703938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 CRESSIDA PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927620",
            "telephone_number": "850-377-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 CRESSIDA PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927620",
            "telephone_number": "850-377-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNE",
        "first_name": "COLIN",
        "middle_name": "MACKINLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.