Mastermind Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC007172 Issued in GA

Legal business name

MASTERMIND COUNSELING SERVICES

Practice address

2077 Raintree PL
Lithonia, GA 30058-7956

Phone

(678) 858-3172

NPI assigned

Jan 30, 2016

Last updated

Jan 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Brown II, LPCNPI 1346519808

Title

Licensed Professional Counselor

Phone

(678) 858-3172

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth James Brown II, B.S., LAPC

  • Professional Counselor
  • Lithonia, GA
  • NPI 1346519808
  NPD (past) Authorized official

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454112000000",
    "number": "1700244134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 RAINTREE PL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587956",
            "telephone_number": "678-858-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 RAINTREE PL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587956",
            "telephone_number": "678-858-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERMIND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-858-3172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Harris Martinelli, PA-C
• Sandra Diane Maryman, MD
• Marys Safe Haven LLC
• Camonie Mason
• Sheila Vernice Mason, OTRL
• Vivin Mathew, M.D.
• Dileane Matthews, REGISTERED NURSE
• Erica Monique Mattox, P.T.
• Quaniqua Matute-Islam, CNA
• Maximum Health Outcomes, Inc (Compassionate Care)

• Community/Behavioral Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.