Kimberly Brown, LAC, MPA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Newton, KS
NPI 1104236074 · NPPES record last updated May 1, 2014
Key facts
- NPI
- 1104236074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 541 (KS)
- Practice address
- 130 E 5TH St
Newton, KS 67114-2206 - Phone
- (316) 283-6743
- NPI assigned
- May 1, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 541 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mirror, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 541 | KS | Yes |
Addresses
Primary practice location
130 E 5TH St
Newton, KS 67114-2206
Mailing address
130 E 5TH St
PO Box 711
Newton, KS 67114-2206
Phone (316) 283-6743
Other providers in Newton, KS
- Bridgepoint, LLC
- Joshua Bright
- Wendy Brigido
- Alexis Brodek
- Kendra Marie Brown
- Peggy Brown
- Schuyler Brown
- Jessica Brozek
- Claire Brubacher
- Jennifer Renee Burns
All providers in Newton, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.