Mitzi Dianne Brown, MA, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14665 Issued in GA

Practice address

335 Boundless LN
Canton, GA 30114-5381

Phone

(941) 979-6575

Fax

(941) 564-0258

NPI assigned

Nov 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 24, 2024 through Jun 24, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1821567587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BOUNDLESS LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145381",
            "telephone_number": "941-979-6575",
            "fax_number": "941-564-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BOUNDLESS LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145381",
            "telephone_number": "941-979-6575",
            "fax_number": "941-564-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MITZI",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19437",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "RMCHI17794",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "14665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hosanna Brown
• Katherine Walker Brown, M.A., CCC-SLP
• Kathryn Brown, PT
• Lynette Brown, MD
• Melody Ann Brown, MS PT
• Salvatore Adolfo Bruni, MD
• Sara Jane Bruton, NP
• Stephanie Diane Bruton, NP
• Sheri Sullins Buckley, DNP, ANP-BC, FNP-C
• Casandra Buenger, N.P.

• Mental Health Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.