ETTA KEMYATA BROWN LPC
NPI 1245710367
Counselor - Mental Health in Shreveport, LA
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Etta Kemyata Brown Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Etta Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Decatur, GA 30035
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
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 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.
Where is Etta Brown located?
Etta Brown practices at 2020 E 70th St Ste 201, Shreveport, LA 71105. The listed phone number is (318) 751-9098.
What is Etta Brown's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Etta Brown enrolled in Medicare?
Yes. Etta Brown is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Etta Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Etta Brown reassigns Medicare benefits to Assertive Community Recovery, LLC (Decatur, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Etta Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Etta Brown accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Etta 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 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.
# Etta Kemyata Brown, LPC · NPI 1245710367
Mental Health provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since August 17, 2018.
## Identity
- **NPI:** 1245710367 (Entity type: Individual)
- **Enumerated:** August 17, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2020 E 70TH ST STE 201, Shreveport, LA 71105-5332
- **Phone:** (318) 751-9098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Assertive Community Recovery, LLC (NPI 1265607683, Decatur, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** William Carey University College Of Osteopathic Medicine, class of 2015
## Record status
- **NPPES last updated:** July 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245710367) · Data from the CMS NPPES public registry.