Individual provider Active NPI

David L Brown, LPC MHSP

  • Professional Counselor
  • Greeneville, TN
National Provider Identifier
1811900905
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1533 Issued in TN
Practice address
401 Holston Dr
Nolachuckey Mental Health Center Frontier Health
Greeneville, TN 37743
Phone
(423) 639-1104
Fax
(423) 636-8365
NPI assigned
Aug 13, 2006
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC1533 TN
Professional Counselor 101YP2500X 1533 TN Primary

Addresses

Primary practice location

401 Holston Dr
Nolachuckey Mental Health Center Frontier Health
Greeneville, TN 37743

Mailing address

1167 Spratlin Park Drive
Gray, TN 37615-6205
Phone (423) 467-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240222000536 TN Practitioner - Mental Health Counselor 3577907120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

401 Holston Dr
Greeneville, TN 37743-3127
Phone (423) 467-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC1533TNMDCounselor
1533TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Feb 14, 2024 Accepting new patients
Frontier Health CurrentSince Feb 14, 2024 Accepting new patients
Frontier Health PastSince Feb 14, 2024 Accepting new patients

Locations

401 Holston Dr
Greeneville, TN 37743
Phone (423) 639-1104

616 E Church St
Ste A
Greeneville, TN 37745
Phone (423) 639-2316

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1811900905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DRIVE",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOLSTON DR",
            "address_2": "NOLACHUCKEY MENTAL HEALTH CENTER FRONTIER HEALTH",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37743",
            "telephone_number": "423-639-1104",
            "fax_number": "423-636-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LPC MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LPC1533",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.