Individual provider Active NPI

Elliott Mathew Brown, MS, NCC, LPC

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1801234992
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1090 Issued in MS
Practice address
102 Medical Park Ste B
Hattiesburg, MS 39401-9080
Phone
(601) 261-1650
Fax
(601) 545-1740
NPI assigned
Jun 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 1090 MS Primary

Addresses

Primary practice location

102 Medical Park Ste B
Hattiesburg, MS 39401-9080

Mailing address

PO Box 681
Collins, MS 39428-0681
Phone (601) 606-0208

Other practice location 1

200 Yawn St
Collins, MS 39428-3823
Phone (601) 606-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331001597 MS Practitioner - Mental Health Counselor 1254816937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Medical Park
Suite B
Hattiesburg, MS 39401-9080

415 S 28TH Ave
Hattiesburg, MS 39401-7246

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1090MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1801234992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394280681",
            "telephone_number": "601-606-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394019080",
            "telephone_number": "601-261-1650",
            "fax_number": "601-545-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Yawn St",
            "address_purpose": "LOCATION",
            "city": "Collins",
            "state": "MS",
            "postal_code": "394283823",
            "country_code": "US",
            "telephone_number": "601-606-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELLIOTT",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.