IMANI BROWN (NPI# 1063045102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063045102 |
Entity Type | Individual |
Full Name | IMANI BROWN |
Credential | MED, LPC-INTERN |
Practice Address |
600 Strada Cir Ste 220 Mansfield TX 76063-3209 |
Practice Telephone | 2146865856 |
Mailing Telephone | 2146865856 |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 82553 | TX | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
82553 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878109 | Imani A'jan Brown | Rehabilitation Practitioner | 5120 S Pecos Rd, Las Vegas, NV 89120-1299 | 2020-10-15 |
Street Address |
600 STRADA CIR STE 220 |
City | MANSFIELD |
State | TX |
Zip Code | 76063-3209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770986416 | Demetria Martin | Social Worker | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2014-10-08 |
1912536244 | Ruquiyah Foye | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2020-04-07 |
1952939662 | Caroline Chadwick Kasemsri | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2020-03-29 |
1689217358 | Dimensions of Wellness Counseling, LLC | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2019-10-24 |
1407499411 | Marica King | Counselor | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2019-10-22 |
1568019255 | Distinctive Pathways LLC | Social Worker | 600 Strada Cir Ste 220, Mansfield, TX 76063-3209 | 2019-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871103283 | Be Still Counseling and Consulting, Pllc | Counselor | 602 Strada Cir Ste 119, Mansfield, TX 76063-3201 | 2020-08-01 |
1407407620 | Ryan Edward Rodrigues | Counselor | 792 S Main St Ste 102, Mansfield, MA 02048-3137 | 2019-09-28 |
1356871131 | Roger Noe | Counselor | 652 Holiday Dr, Mansfield, OH 44904-1819 | 2017-06-14 |
1497291389 | Latieria Edwards | Counselor | 606 Monroe St, Mansfield, LA 71052-3224 | 2017-01-16 |
1962959130 | Lakimberly Pratt Edwards | Counselor | 1048 Park Dr, Mansfield, LA 71052-4812 | 2016-09-06 |
1154780880 | Jacarri Jackson | Counselor | 238 Wildwood St, Mansfield, LA 71052-6420 | 2016-02-23 |
1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
1083036545 | Roger Higginbotham | Counselor | 151 Marion Avenue, Mansfield, OH 44903-2223 | 2014-01-16 |
1649608431 | Giscard Sarkis | Counselor | 19 Homefield Dr # Dt, Mansfield, MA 02048-3330 | 2013-10-15 |
1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
Find all providers in MANSFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.