Active NPI
Tavari Brown, LPC, PHD
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1831607696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 008850
- Practice address
- 1321 Cascade Falls Dr SW
Atlanta, GA 30311-3656 - Phone
- (855) 882-4325
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 008850 | GA | Primary |
Addresses
Primary practice location
1321 Cascade Falls Dr SW
Atlanta, GA 30311-3656
Mailing address
1321 Cascade Falls Dr SW
Atlanta, GA 30311-3656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008850 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1831607696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 CASCADE FALLS DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303113656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 CASCADE FALLS DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303113656",
"telephone_number": "855-882-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TAVARI",
"name_prefix": "Dr.",
"credential": "LPC, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "008850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.