Individual provider Active NPI

Gregory James Brown, LPC

  • Counselor
  • Fishersville, VA
National Provider Identifier
1881630598
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701005023 Issued in VA
Practice address
78 Medical Center Drive
Augusta Healthcare Crossroads
Fishersville, VA 22939
Phone
(540) 213-2525
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701005023 VA Primary

Addresses

Primary practice location

78 Medical Center Drive
Augusta Healthcare Crossroads
Fishersville, VA 22939

Mailing address

205 E Union St
Morganton, NC 28655-3449
Phone (828) 433-9190

Other identifiers 2

IdentifierTypeStateIssuer
6104169MedicaidNC
43178OtherNBCC

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

State licenses

LicenseStateTypeSpecialty
0701005023VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Hissom and Associates PLLC PastSince Oct 16, 2018 Accepting new patients
Lifeworks Professional Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1881630598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553449",
            "telephone_number": "828-433-9190",
            "fax_number": "828-433-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DRIVE",
            "address_2": "AUGUSTA HEALTHCARE CROSSROADS",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-213-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701005023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC",
            "identifier": "43178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.