Callie Brown, LAC, NCC
Counselor, Mental Health in Eatontown, NJ. Individual provider (NPI-1).
NPI number1992404941
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1992404941
- Entity type
- Individual (NPI-1)
- Name
- Callie Brown
- Credential
- LAC, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2023
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37AC00575000 | NJ | Yes |
Practice location
615 Hope RdEatontown, NJ 07724-1277
Phone 848-208-2590
Mailing address
202 Prospect Ave Apt 1Pine Beach, NJ 08741-1062
Phone 732-966-5332
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 58 Mental Health Counselor providers in Eatontown · All 993 providers in Eatontown
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