Individual provider Active NPI

Roslyn A Brown, MA, LPC, LCDC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1699173963
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75653 Issued in TX
Practice address
1711 E Central Texas Expy Ste 201-A1
Killeen, TX 76541-9166
Phone
(254) 833-5089
Fax
(254) 863-6031
NPI assigned
Dec 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13613 TX
Professional Counselor 101YP2500X 75653 TX Primary

Addresses

Primary practice location

1711 E Central Texas Expy Ste 201-A1
Killeen, TX 76541-9166

Mailing address

208 Scarlet LN
Harker Heights, TX 76548-7471
Phone (912) 492-8451

Other identifiers 1

IdentifierTypeStateIssuer
374114201MedicaidTX

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
75653TXMDProfessional Counselor
13613TXMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Roslyn Antonnett Brown Addiction (Substance Use Disorder) CurrentSince Dec 15, 2019 Accepting new patients

Locations

1711 E Central Texas Expy
Ste 201A1
Killeen, TX 76541
Phone (254) 833-5089

Organizations & group practices 1

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": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1699173963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SCARLET LN",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487471",
            "telephone_number": "912-492-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 201-A1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-833-5089",
            "fax_number": "254-863-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROSLYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13613",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374114201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.