JOSHUA DAMON BROWN (NPI# 1790200517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790200517 |
| Entity Type | Individual |
| Full Name | JOSHUA DAMON BROWN |
| Credential | CRADC |
| Practice Address |
1109 Jones St Kennett MO 63857-3824 |
| Practice Telephone | (573) 888-6454 |
| Practice Fax Number | 5738882369 |
| Mailing Telephone | 5738886454 |
| Mailing Fax Number | 5738882369 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492549 | Joshua Mason Brown | Psychologist | 1704 Cape Horn Ln., Julian, CA 92036 | 2019-11-25 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1356764922 | Joshua Alan Brown | Home Health Aide | 349 Mill St, Chillicothe, OH 45601-2316 | 2014-02-01 |
| 1124285598 | Joshua Stephen Brown | Dietitian, Registered | 312 Summit Way, Norman, OK 73071-4160 | 2008-05-21 |
| 1467066282 | Joshua Michel Brown | Student in an Organized Health Care Education/Training Program | 3132 Jefferson St, San Diego, CA 92110-4421 | 2020-08-31 |
| 1851902282 | Joshua Brown | Massage Therapist | 1 City Ctr Stop 1, Portland, ME 04101-4009 | 2020-08-10 |
| 1861021560 | Joshua D Brown | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2020-04-04 |
| 1306480751 | Joshua Brown | Behavior Technician | 1325 W Causeway Approach, Mandeville, LA 70471-3043 | 2019-10-29 |
| 1295382968 | Joshua William Brown | Speech-Language Pathologist | 201 N Forest Ave, Independence, MO 64050-2696 | 2019-08-19 |
| 1003474867 | Joshua Elijah Brown | Nurse Practitioner | 2950 Stone Hogan Connector Rd Sw Ste B, Atlanta, GA 30331-2837 | 2019-06-05 |
| Street Address |
1109 JONES ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013023860 | Carl Rodney Fisher | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2006-08-22 |
| 1588265565 | Jaymie Rena Glass | Case Manager/Care Coordinator | 1109 Jones St, Kennett, MO 63857-3824 | 2020-11-05 |
| 1205468402 | James Berry Rogers | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2020-02-06 |
| 1528698156 | Dylon Deauston Holt | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-23 |
| 1598305351 | Lora Nicole Wilson | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-09 |
| 1336799428 | William Robert Davis Jr. | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-09-19 |
| 1013564947 | Chelsi Joann Masterson | Case Manager/Care Coordinator | 1109 Jones St, Kennett, MO 63857-3824 | 2019-08-26 |
| 1790337442 | Kelsi Michelle Moody | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-07-12 |
| 1649839002 | James Mark Howell | Behavior Technician | 1109 Jones St, Kennett, MO 63857-3824 | 2019-06-10 |
| 1497313308 | Jacqueline Michelle Morris | Health Educator | 1109 Jones St, Kennett, MO 63857-3824 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1205268356 | Larry Shawn Sando | Counselor | 925 State Route V V, Kennett, MO 63857 | 2013-07-31 |
| 1013023860 | Carl Rodney Fisher | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2006-08-22 |
| 1598305351 | Lora Nicole Wilson | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-09 |
| 1659836930 | David Eichler | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2019-01-31 |
| 1568963981 | Beulah Mae Brown | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2018-02-21 |
| 1275032641 | Zachary Shea Rousell | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2018-02-12 |
| 1952814741 | Ruth Vaughn | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2017-11-15 |
| 1194238089 | William Paul Malloy | Counselor | 925 State Hwy Vv, Kennett, MO 36857 | 2017-11-14 |
| 1659828242 | Tanya Ellis | Counselor | 925 Highway Vv, Kennett, MO 63857-0071 | 2016-09-01 |
| Find all providers in KENNETT | ||||
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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.