Individual provider Active NPI

Julian Patrick Ryan Brown, LMSW

  • Clinical Social Worker
  • Lenexa, KS
National Provider Identifier
1033542139
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4667 Issued in KS
Practice address
12351 W 96TH Ter Ste 105
Lenexa, KS 66215-4410
Phone
(913) 257-3161
NPI assigned
Aug 13, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8924 KS
Clinical Social Worker 1041C0700X 4667 KS Primary

Addresses

Primary practice location

12351 W 96TH Ter Ste 105
Lenexa, KS 66215-4410

Mailing address

12351 W 96TH Ter Ste 105
Lenexa, KS 66215-4410
Phone (913) 257-3161

Other practice location 1

513 S 5th St
Leavenworth, KS 66048-2610
Phone (913) 680-1226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8924KSMDSocial Worker
4667KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embark Counseling Services, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

12351 W 96th Ter
Ste 105
Lenexa, KS 66215
Phone (913) 257-3161

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033542139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER STE 105",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154410",
            "telephone_number": "913-257-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER STE 105",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154410",
            "telephone_number": "913-257-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660482610",
            "country_code": "US",
            "telephone_number": "913-680-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JULIAN",
        "middle_name": "PATRICK RYAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.