Organization Active NPI

M Stephen Brown

  • Professional Counselor
  • Durango, CO
National Provider Identifier
1821547597
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0003417 Issued in CO
Legal business name
M STEPHEN BROWN
Practice address
10 Town PLZ
331
Durango, CO 81301-5104
Phone
(970) 317-5479
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mark Stephen Brown, L.P.C.
Title
Therapist
Phone
(970) 317-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC.0003417 CO Primary

Addresses

Primary practice location

10 Town PLZ
331
Durango, CO 81301-5104

Mailing address

1901 Main Ave Suite 101
10 Town Plaz 331
Durango, CO 81301
Phone (970) 317-5479

Other identifiers 1

IdentifierTypeStateIssuer
101YP2500XMedicaidCO

Other names 1

  • mark brown Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1821547597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MAIN AVE SUITE 101",
            "address_2": "10 TOWN PLAZ 331",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-317-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TOWN PLZ",
            "address_2": "331",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015104",
            "telephone_number": "970-317-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M STEPHEN BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "970-317-5479",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0003417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP2500X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mark brown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.