Charles Nicholas Brown, LPCC
Individual provider Active NPI Mental Health Counselor · Newport, KY
NPI 1013350867 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1013350867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 164140 (KY)
- Practice address
- 200 W 3Rd St
Newport, KY 41071-1814 - Phone
- (859) 301-5901
- Fax
- (859) 301-5940
- NPI assigned
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
200 W 3Rd St
Newport, KY 41071-1814
Phone (859) 578-5662
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313000180 | KY | Practitioner - Mental Health Counselor | 7517268030 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001759A | IN | MD | Mental Health Counselor |
| 164140 | KY | MD | Mental Health Counselor |
| 276436 | KY | MD | Mental Health Counselor |
| LICDC.162601 | OH | MD | Mental Health Counselor |
| 1591 | KY | MD | Professional Counselor |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Mental Health | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients |
Locations
6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846
351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000
200 W 3rd St
Newport, KY 41071
Phone (859) 212-0175
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Networks
- KY PPO C-SNP
- KY PPO
- OH PPO
- TN PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCPCC00218319 | KY | |
| Mental Health Counselor | 101YM0800X | 276436 | KY | |
| Mental Health Counselor | 101YM0800X | 87001759A | IN | |
| Mental Health Counselor | 101YM0800X | LICDC.162601 | OH | |
| Professional Counselor | 101YP2500X | LPCPCC00218319 | KY | |
| Professional Counselor | 101YP2500X | 1591 | KY | |
| Mental Health Counselor | 101YM0800X | 164140 | KY | Yes |
Addresses
Primary practice location
200 W 3Rd St
Newport, KY 41071-1814
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
| 611300608 | Other | KY | TAX IDENTIFICATION NUMBER |
| 0155170 | Medicaid | OH | |
| 7100333760 | Medicaid | KY |
Other names
- Jordan Brown
Other providers in Newport, KY
- Douglas K Braun
- Mary Lou Braun
- Melanie Braxton
- John Brewer
- Johnson Preetham Britto
- Tyler William Browning
- Kelli Bruce
- Buc Newport LLC
- Maureen Anne Burns
- Christopher Bush
All providers in Newport, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.