David L Brown, LPC MHSP

Individual provider Active NPI Professional Counselor · Greeneville, TN

NPI 1811900905 · NPPES record last updated Oct 14, 2019

Key facts

NPI
1811900905
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1533 (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
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Health (70 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240222000536 TN Practitioner - Mental Health Counselor 3577907120 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC1533TNMDCounselor
1533TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health Current
since Feb 14, 2024
Accepting new patients
Frontier Health Current
since Feb 14, 2024
Accepting new patients
Frontier Health Past
since 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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
4098479OtherMAGELLAN PINNACLE
620582605OtherCARITEN PHP POS
620582605OtherCARITEN PHP HMO
620582605 021OtherTRICARE SOUTH
620582605OtherCARITEN PHP PPO
334969OtherVALUE OPTIONS GROUP
4098479OtherMAGELLAN SUMMIT
620582605OtherCARITEN SENIOR PPO
620582605OtherMENTAL HEALTH NETW
4098479OtherMAGELLAN NAVIGATOR
620582605OtherPHCS
620582605OtherINITIAL GROUP
620582605OtherCARITEN SENIOR HMO
620582605OtherCORPHEALTH
351654200OtherDOL WORKERS COMP
290298OtherMANAGED HEALTH NET
620582605OtherTHREE RIVERS PROVI GROUP
620582605OtherCAR PHP MEDICARE H
620582605OtherCAR PHP LEASE PPO
620582605OtherCARITEN PHP WORKCO

Other providers in Greeneville, TN

All providers in Greeneville, TN · Professional Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.