Individual provider Active NPI

Vanessa Rene Brown, LPCC-S,LICDC

  • Mental Health Counselor
  • Hamilton, OH
National Provider Identifier
1033633045
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1700240-SUPV Issued in OH
Practice address
2100 Pleasant Ave
Hamilton, OH 45015-1133
Phone
(513) 867-5664
Fax
(513) 867-5669
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161698 OH
Mental Health Counselor 101YM0800X E.1700240-SUPV OH Primary

Addresses

Primary practice location

2100 Pleasant Ave
Hamilton, OH 45015-1133

Mailing address

729 Elliott Ave
Cincinnati, OH 45215-5419
Phone (513) 253-3830

Other identifiers 1

IdentifierTypeStateIssuer
0235517MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507002542 OH Practitioner - Mental Health Counselor 9234570342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161698OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Clinic Inc Mental Health Access Point Mental Health Current Accepting new patients
Central Clinic Outpatient Services Addiction (Substance Use Disorder) Current Accepting new patients
Central Clinic Outpatient Services Addiction (Substance Use Disorder) CurrentSince Mar 23, 2024 Accepting new patients

Locations

311 Albert Sabin Way
Cincinnati, OH 45229
Phone (513) 558-5823

2100 Pleasant Ave
Hamilton, OH 45015
Phone (513) 868-1562

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1033633045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 ELLIOTT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155419",
            "telephone_number": "513-253-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PLEASANT AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151133",
            "telephone_number": "513-867-5664",
            "fax_number": "513-867-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "VANESSA",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LPCC-S,LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161698",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700240-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.