Individual provider Active NPI

Tessa Marie Brown, CRS, AS

  • Peer Specialist
  • Indianapolis, IN
National Provider Identifier
1902788003
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CAPRC2-5377 Issued in IN
Practice address
675 Justice Way
Indianapolis, IN 46203-1574
Phone
(877) 465-6650
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CAPRC2-5377 IN Primary

Addresses

Primary practice location

675 Justice Way
Indianapolis, IN 46203-1574

Mailing address

3540 Pump Rd # 1188
Richmond, VA 23233-1115

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
Associate of Science

State licenses

LicenseStateTypeSpecialty
CAPRC2-5377INMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Holon Health Great Lakes, P.C. CurrentSince Jul 28, 2025 Accepting new patients

Locations

675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

Organizations & group practices 1

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1902788003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 PUMP RD # 1188",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 JUSTICE WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031574",
            "telephone_number": "877-465-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "credential": "CRS, AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IN",
            "license": "CAPRC2-5377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.