Carol Brown, CMHT – Counselor in Moselle, MS

Key facts

NPI: 1801313226
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 1894 (MS)
Practice address: 3 Clearview Cir
Moselle, MS 39459-9520
Phone: (601) 544-1499
NPI assigned: Aug 25, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Region 12 Commission on Mental Health and Retardation Substance Abuse Rehabilitation Facility · Moselle, MS · NPI 1982612206

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1894	MS	MD	Counselor

Practice roles

Organization	Specialty	Status	New patients
Region 12 Commission on Mental Health and Retardation		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	1894	MS	Yes

Addresses

Primary practice location

3 Clearview Cir
Moselle, MS 39459-9520

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 25, 2017.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1801313226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18679",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CLEARVIEW CIR",
            "city": "MOSELLE",
            "state": "MS",
            "postal_code": "394599520",
            "telephone_number": "601-544-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAROL",
        "credential": "CMHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moselle, MS

All providers in Moselle, MS · Counselor in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.