Look up the most recent NPI and PECOS records

Katelyn Marie Brown

Marriage & Family Therapist

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Katelyn Marie Brown does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518489004
Provider Type
Individual
Full Name
Brown, Katelyn Marie
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/17/2017
Last Updated
1/19/2021

Contact Information

Practice Location

3164 Condo Ct, Santa Rosa, CA 95403

(707) 360-1500

Unlisted Fax

Mailing Location

45 Emigrant Way Apt C, Chico, CA 95928-7223

(916) 849-1591

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 123362 California
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License 123362 California
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 123362 California

Katelyn Marie Brown

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Planting, Anna Lisa

Gayowski, William Michael

Buxbaum, Anne Katherine

Bromley, George William

Murray, Charles Alfred

Sremba, Lana

Ballard, Jennifer Dawn

Shaul, Paula Lee

Mills, Patricia Lee

Hendricks, Katrina