Individual provider Active NPI

Donna Pickersgill-Brown, B.S, CASAC-T

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica, NY
National Provider Identifier
1851811509
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
25522 Issued in NY
Practice address
17020 130TH Ave Apt 6a
Jamaica, NY 11434-3226
Phone
(347) 321-5606
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25522 NY Primary

Addresses

Primary practice location

17020 130TH Ave Apt 6a
Jamaica, NY 11434-3226

Mailing address

17020 130TH Ave Apt 6a
Jamaica, NY 11434-3226
Phone (347) 321-5606

Other identifiers 1

IdentifierTypeStateIssuer
25522OtherNYCASAC-T

Other names 1

  • Mrs. Donna Brown Professional name

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
25522NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1851811509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 130TH AVE APT 6A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343226",
            "telephone_number": "347-321-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 130TH AVE APT 6A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343226",
            "telephone_number": "347-321-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERSGILL-BROWN",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "B.S, CASAC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "25522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC-T",
            "identifier": "25522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BROWN",
            "prefix": "MRS.",
            "credential": "BS, RECOVERY COACH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.