Active NPI
Lisa Evette Brown-Fagan
- Professional Counselor
- Flint, MI
National Provider Identifier
1700011020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011313
- Practice address
- 901 Chippewa St
Flint, MI 48503-1552 - Phone
- (810) 232-9950
- NPI assigned
- May 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011313 | MI | Primary |
Addresses
Primary practice location
901 Chippewa St
Flint, MI 48503-1552
Mailing address
555 S Saginaw St
302
Flint, MI 48502-1841
Phone (810) 814-3535
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011313 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242518400000",
"number": "1700011020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S SAGINAW ST",
"address_2": "302",
"city": "FLINT",
"state": "MI",
"postal_code": "485021841",
"telephone_number": "810-814-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CHIPPEWA ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485031552",
"telephone_number": "810-232-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN-FAGAN",
"first_name": "LISA",
"middle_name": "EVETTE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-17",
"last_updated": "2009-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.