Individual provider Active NPI

Jeanne Brown, LPC, CSAC

  • Mental Health Counselor
  • Elizabethtown, NY
National Provider Identifier
1982140125
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006768 Issued in VA
Practice address
8273 River Street
Elizabethtown, NY 12932-1293
Phone
(518) 873-4175
Fax
(518) 873-4176
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 0701006768 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103021 VA

Addresses

Primary practice location

8273 River Street
Elizabethtown, NY 12932-1293

Mailing address

7398 US Route 9
Elizabethtown, NY 12932-1716
Phone (518) 573-1703

Other practice location 1

9301 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 552-8186

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
0710103021VAMDAddiction (Substance Use Disorder) Counselor
0701006768VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Family Mental Health Counseling PLLC CurrentSince Sep 25, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1982140125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7398 US ROUTE 9",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129321716",
            "telephone_number": "518-573-1703",
            "fax_number": "703-257-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 RIVER STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129321293",
            "telephone_number": "518-873-4175",
            "fax_number": "518-873-4176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 Forest Point Cir",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104700",
            "country_code": "US",
            "telephone_number": "703-552-8186",
            "fax_number": "703-257-7518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEANNE",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006768",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.