NPIMap

Individual provider Active NPI

Jennifer Marie Brown, LADC, PLMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1073832366
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1819 Issued in NE
Practice address
1600 Windhoek Dr
Lincoln, NE 68512-1272
Phone
(531) 248-3030
Fax
(531) 500-2626
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 940 NE
Mental Health Counselor 101YM0800X 9639 NE
Professional Counselor 101YP2500X 2210 NE
Mental Health Counselor 101YM0800X 1819 NE Primary

Addresses

Primary practice location

1600 Windhoek Dr
Lincoln, NE 68512-1272

Mailing address

1600 Windhoek Dr
Lincoln, NE 68512-1272
Phone (531) 248-3030

Other identifiers 1

IdentifierTypeStateIssuer
10026090200MedicaidNE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1819NEMDMental Health Counselor
2210NEMDChiropractor
9639NEMDAnatomic Pathology & Clinical Pathology Physician
940NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ponca Tribe of Nebraska Past Accepting new patients
Origins Health and Wellness, LLC Past Accepting new patients
Ponca Tribe of Nebraska Past Accepting new patients

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1073832366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WINDHOEK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121272",
            "telephone_number": "531-248-3030",
            "fax_number": "531-500-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WINDHOEK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121272",
            "telephone_number": "531-248-3030",
            "fax_number": "531-500-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LADC, PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "940",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9639",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2210",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026090200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.