Active NPI
Kaylynn Brown
- Mental Health Counselor
- Liberty Hill, TX
National Provider Identifier
1831731603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3103 Ranch Road 1869
Liberty Hill, TX 78642-4288 - Phone
- (512) 277-0676
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Naturopath | 175F00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3103 Ranch Road 1869
Liberty Hill, TX 78642-4288
Mailing address
3103 Ranch Road 1869
Liberty Hill, TX 78642-4288
Phone (512) 277-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6901017075 | Other | TX | NCCA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoverh | Mental Health | Current | Accepting new patients |
| Eternal Grace Relational Care | Current | Accepting new patients |
Locations
201 Saint Joseph Ct
Ste 320
Liberty Hill, TX 78642
Phone (512) 277-0676
3103 Ranch Road 1869
Liberty Hill, TX 78642
Phone (512) 277-0676
Organizations & group practices 2
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.
-
- Case Management Agency
- Liberty Hill, TX
- NPI 1265005136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1831731603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 RANCH ROAD 1869",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786424288",
"telephone_number": "512-277-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 RANCH ROAD 1869",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786424288",
"telephone_number": "512-277-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KAYLYNN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCA",
"identifier": "6901017075",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.