Tillie Marie Brown, MA,NCC,LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2897 Issued in MD

Practice address

10009 Preakness Dr
Upper Marlboro, MD 20772-3865

Phone

(240) 682-4247

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Tillie'S House of Hope

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
  • NPI 1710277942
  NPD (past) Authorized official

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1851680920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "CHELTENHAM",
            "state": "MD",
            "postal_code": "206230133",
            "telephone_number": "240-682-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 PREAKNESS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723865",
            "telephone_number": "240-682-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TILLIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA,NCC,LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimya Brown, LGSW
• Kisha Perkins Brown, MD
• Madeline Nicole Bota Brown, MD
• Olivia Eva Brown
• Ricardo Brown
• Wayman J Brown, D.D.S.
• Zaneta Grasetta Brown, PHD
• Daren Dwayne Browning
• Gillian L Brubaker, M.D.
• Jameelah Brummitt

• Professional Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.