Active NPI
Tyiesha Brown, LMHC
- Mental Health Counselor
- Oakwood, GA
National Provider Identifier
1720740145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010009
- Practice address
- 2203 Education Way # 2203
Oakwood, GA 30566-3429 - Phone
- (470) 767-6803
- NPI assigned
- Oct 13, 2021
- Last updated
- Oct 13, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010009 | NY | Primary |
Addresses
Primary practice location
2203 Education Way # 2203
Oakwood, GA 30566-3429
Mailing address
2203 Education Way # 2203
Oakwood, GA 30566-3429
Phone (470) 767-6803
Other names 1
- Tyiesha Brown
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OAKWOOD | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1720740145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 EDUCATION WAY # 2203",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305663429",
"telephone_number": "470-767-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 EDUCATION WAY # 2203",
"city": "OAKWOOD",
"state": "GA",
"postal_code": "305663429",
"telephone_number": "470-767-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TYIESHA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "010009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OAKWOOD",
"affiliation": "N",
"endpointDescription": "Telehealth",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2203 Education Way # 2203",
"city": "Oakwood",
"state": "GA",
"country_code": "US",
"postal_code": "305663429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TYIESHA",
"last_name": "BROWN",
"credential": "LHMC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oakwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.