DERRICK BROWN (NPI# 1992226971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992226971 |
| Entity Type | Individual |
| Full Name | DERRICK BROWN |
| Credential | MHS |
| Practice Address |
4107 Van Deeman St Bossier City LA 71112-4223 |
| Practice Telephone | (318) 754-5461 |
| Mailing Telephone | 3187545461 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801152632 | Derrick Brown | Case Manager/Care Coordinator | 13411 Royal Park Dr, Houston, TX 77083-6389 | 2012-04-05 |
| 1366671802 | Derrick Michael Brown | Physician Assistant | 1010 Executive Court, Suite 250, Westmont, IL 60559 | 2009-07-06 |
| 1700939360 | Derrick W Brown | Dentist | 853 N Harbor Blvd, Anaheim, CA 92805-1810 | 2007-01-18 |
| 1659631372 | Derrick Steven Brown | Family Medicine | 2220 Riverside Ave, Minneapolis, MN 55454 | 2012-05-29 |
| 1942270848 | Derrick M Brown | Internal Medicine | 733 N Beers St, Holmdel, NJ 07733-1528 | 2006-01-24 |
| Street Address |
4107 VAN DEEMAN ST |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| 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 |
|---|---|---|---|---|
| 1508466715 | Shona D Dyche | Counselor | 1324 Violet Ave, Bossier City, LA 71112-4639 | 2020-10-27 |
| 1932724713 | Restoring Light Counseling, LLC | Counselor | 3018 Old Minden Rd Ste 1113e, Bossier City, LA 71112-2476 | 2020-06-08 |
| 1215434857 | Ashley White | Counselor | 1417 Palmar St, Bossier City, LA 71111-5317 | 2018-04-10 |
| 1902313802 | Jennifer Laurie Jones | Counselor | 1200 Gibson Cir, Bossier City, LA 71112-3348 | 2018-01-02 |
| 1609388586 | Romanethia Brown | Counselor | 2323 Old Minden Rd Apt 273, Bossier City, LA 71112-2305 | 2017-10-31 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1811435357 | Crystal Peoples-mims | Counselor | 844 Entrada, Bossier City, LA 71111-6274 | 2017-02-04 |
| 1619320728 | Tanya Corbett | Counselor | 1408 Magnolia Rdg, Bossier City, LA 71112-5042 | 2016-07-13 |
| 1841647492 | Kelli Pickett | Counselor | 6219 E Oxbow Loop, Bossier City, LA 71112-5017 | 2016-05-24 |
| 1710332788 | Anthony Hicks | Counselor | 3218 Thunderbird Ln, Bossier City, LA 71112-3125 | 2016-04-27 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
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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.