Individual provider Active NPI

Jerusalem K Brown, LPC, NCC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1881360923
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC04981 Issued in AL
Practice address
505 20TH Street North
Ste. 1220-1026
Birmingham, AL 35203-5028
Phone
(205) 202-9390
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC04981 AL
Professional Counselor 101YP2500X LPC04981 AL Primary

Addresses

Primary practice location

505 20TH Street North
Ste. 1220-1026
Birmingham, AL 35203-5028

Mailing address

505 20TH Street North
Ste. 1220-1026
Birmingham, AL 35203-5028
Phone (205) 202-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260601000291 AL Practitioner - Mental Health Counselor 7810467883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

505 20TH St N
Suite 12201026
Birmingham, AL 35203-2605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC04981ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Emotional Self-Mastery, LLC Mental Health CurrentSince Sep 1, 2023 Accepting new patients

Locations

505 20th St N
Ste 12201026
Birmingham, AL 35203
Phone (205) 202-9390

4614 Highway 280
Ste 1236
Birmingham, AL 35242

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1881360923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 20TH STREET NORTH",
            "address_2": "STE. 1220-1026",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352035028",
            "telephone_number": "205-202-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 20TH STREET NORTH",
            "address_2": "STE. 1220-1026",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352035028",
            "telephone_number": "205-202-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JERUSALEM",
        "middle_name": "K",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.