NPI Code Detail JSON Logo

1154443604 NPI number — CHRISTOPHER BROWN LMFT, CCLS

NPI Number: 1154443604
Health Care Provider/Practitioner: CHRISTOPHER BROWN LMFT, CCLS

Information about “1154443604” NPI (CHRISTOPHER BROWN LMFT, CCLS) exists in 1154443604 in HTML format HTML  |  1154443604 in plain Text format TXT  |  1154443604 in PDF (Portable Document Format) PDF  |  1154443604 in an XML format XML  formats.

NPI Number : 1154443604 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154443604",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "CHRISTOPHER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT, CCLS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROWN",
    "OtherFirstName": "CHRIS",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMFT, CCLS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5301 WILLIAMSON RD STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROANOKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24012-1449",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-744-2933",
    "MailingAddressFaxNumber": "540-215-7339",
    "FirstLinePracticeLocationAddress": "5301 WILLIAMSON RD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24012-1449",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-744-2933",
    "PracticeLocationAddressFaxNumber": "540-215-7339",
    "EnumerationDate": "04/04/2007",
    "LastUpdateDate": "01/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MFC 48561",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "0717001496",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "CTB-2022-0177",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.