ETTA KEMYATA BROWN LPC
NPI 1245710367
Counselor - Mental Health in Shreveport, LA

Q: What is Etta Brown's NPI number?

The NPI number for Etta Brown is 1245710367. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Q: What is Etta Brown's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Etta Brown was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 17, 2018PECOS Enrolled

2020 E 70TH ST STE 201, SHREVEPORT, LA 71105(318) 751-9098 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2021, Feb 26, 2020, Aug 14, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Etta Kemyata Brown Lpc NPPES

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

ETTA KEMYATA BROWN LPC (NPI 1245710367) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bossier City, and is a graduate of William Carey University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1245710367

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameETTA KEMYATA BROWNCredential: LPC

Location Address2020 E 70TH ST STE 201Shreveport, LA 71105-5332

Mailing Address2306 Villaggio Blvd.Bossier City, LA 71111-7459 · (601) 698-4172

Phone(318) 751-9098

Sole ProprietorYes

Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2015

Enumeration DateAugust 17, 2018

Last NPPES UpdateJuly 9, 20216 updates tracked since enumeration

NPPES CertifiedJuly 9, 2021

✔ NPI 1245710367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 84782 (TX)

2020 E 70TH ST STE 201, Shreveport, LA 71105

Open in Google Maps ↗

Secondary Practice Location 1

Location 12306 VILLAGGIO BLVD.BOSSIER CITY, LA 71111-7459 · Phone (601) 698-4172

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etta Kemyata Brown Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082100672

PECOS Enrollment IDI20260104000002

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 11

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

ERIN SHOCKLEE JOHNSTON LAC, LPC

Counselor (Professional)