Individual provider Active NPI

Kaylynn Brown

  • Mental Health Counselor
  • Liberty Hill, TX
National Provider Identifier
1831731603
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP1600X
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6901017075OtherTXNCCA

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

OrganizationSpecialtyStatusNew patients
Hoverh Mental Health CurrentSince Oct 20, 2019 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.

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.

Verify at the official NPI Registry.