KHADIJAH BROWN BS, MA
NPI 1114698883
Counselor - Mental Health in Princeton, WV

Active since September 23, 2021PECOS EnrolledAccepts Medicare Assignment
153 SPRINGHAVEN DR, PRINCETON, WV 24740(304) 818-2225 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Khadijah Brown Bs, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHADIJAH BROWN BS, MA (NPI 1114698883) is an individual mental health provider in Princeton, West Virginia and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114698883
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHADIJAH BROWNCredential: BS, MA
Location Address153 SPRINGHAVEN DRPrinceton, WV 24740-2358
Mailing Address300 N Mercer StBluefield, WV 24701-2341
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1114698883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
153 SPRINGHAVEN DR, Princeton, WV 24740

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khadijah Brown Bs, Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002338142
PECOS Enrollment IDI20250319000515
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
153 SPRINGHAVEN DR
PRINCETON, WV 24740
Social Worker
153 SPRINGHAVEN DR
PRINCETON, WV 24740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khadijah Brown's NPI number?

The NPI number for Khadijah Brown is 1114698883. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Khadijah Brown located?

Khadijah Brown practices at 153 Springhaven Dr, Princeton, WV 24740. The listed phone number is (304) 818-2225.

What is Khadijah Brown's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Khadijah Brown enrolled in Medicare?

Yes. Khadijah Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Khadijah Brown accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Khadijah Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khadijah Brown was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.