Individual provider Active NPI

Cleophas Browder, LPC-S

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1780827188
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63122 Issued in TX
Practice address
2310 Parklake Dr NE Ste 133
Atlanta, GA 30345-2968
Phone
(713) 458-8785
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63122 TX Primary

Addresses

Primary practice location

2310 Parklake Dr NE Ste 133
Atlanta, GA 30345-2968

Mailing address

2310 Parklake Dr NE Ste 1000
Atlanta, GA 30345-2913
Phone (713) 458-8785

Other practice location 1

5718 Westheimer Rd Ste 1000
Houston, TX 77057-9903
Phone (713) 458-8785

Other identifiers 2

IdentifierTypeStateIssuer
003254852AMedicaidGA
202503301MedicaidTX

Other names 1

  • Cleo Browder Professional name

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

LicenseStateTypeSpecialty
63122TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1780827188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452913",
            "telephone_number": "713-458-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 133",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452968",
            "telephone_number": "713-458-8785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5718 Westheimer Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770579903",
            "country_code": "US",
            "telephone_number": "713-458-8785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWDER",
        "first_name": "CLEOPHAS",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003254852A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202503301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEO",
            "last_name": "BROWDER",
            "credential": "LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.