Jewrine Voncile Brown, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10242 Issued in NC

Practice address

2606 Raeford Rd Ste 31
Fayetteville, NC 28303-5476

Phone

(910) 574-3487

Fax

(910) 653-1521

NPI assigned

Nov 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jewrine Voncile Harold Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jewrinebrown@tdh.allscriptsdirect.net

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.

• I DO Care Counseling and Consulting Services, PLLC

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1093226375
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1760726228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 VARDAMAN AVE",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489696",
            "telephone_number": "910-574-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 RAEFORD RD STE 31",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035476",
            "telephone_number": "910-574-3487",
            "fax_number": "910-653-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEWRINE",
        "middle_name": "VONCILE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2784-A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWRINE",
            "last_name": "HAROLD",
            "middle_name": "VONCILE",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Roger Brown, OTR/L CHT, CEAS
• Jarvell Devarea Brown, M.S., QP, LCAS-A
• Jasmine Brown
• Jessica Brown
• Jessica A Brown, BCBA
• Jil-Mareen Brown
• Josephine R Brown, M.D.
• Joshua Brown
• Karly Gail Brown, LCSW-A; LCAS-A
• Kassidi Logan Brown, PT

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.