Individual provider Active NPI

Alicia Brown, LCMHC

  • Mental Health Counselor
  • Pleasant Garden, NC
National Provider Identifier
1982202636
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10682 Issued in NC
Practice address
4811 Pleasant Garden Rd
Pleasant Garden, NC 27313-9273
Phone
(336) 601-4551
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10682 NC Primary

Addresses

Primary practice location

4811 Pleasant Garden Rd
Pleasant Garden, NC 27313-9273

Mailing address

PO Box 208
Climax, NC 27233-0208
Phone (336) 601-4551

Other practice location 1

6619 Hunting Lodge Rd
Climax, NC 27233-8219
Phone (336) 601-4551

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
10682NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Oaks Therapeutic Community, Inc. Mental Health CurrentSince Oct 19, 2020 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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1982202636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "CLIMAX",
            "state": "NC",
            "postal_code": "272330208",
            "telephone_number": "336-601-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 PLEASANT GARDEN RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273139273",
            "telephone_number": "336-601-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6619 Hunting Lodge Rd",
            "address_purpose": "LOCATION",
            "city": "Climax",
            "state": "NC",
            "postal_code": "272338219",
            "country_code": "US",
            "telephone_number": "336-601-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALICIA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Garden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.