Active NPI
Anthony Raymond Brown, LADC
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
National Provider Identifier
1114292273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 913
- Practice address
- 8502 Mormon Bridge Rd
Omaha, NE 68152-1929 - Phone
- (402) 991-8558
- Fax
- (402) 455-7050
- NPI assigned
- Mar 21, 2012
- Last updated
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 913 | NE | Primary |
Addresses
Primary practice location
8502 Mormon Bridge Rd
Omaha, NE 68152-1929
Mailing address
4806 Dodge St Apt 5
Omaha, NE 68132-3136
Phone (402) 932-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913 | Other | NE | NDHHS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 913 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1114292273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4806 DODGE ST APT 5",
"city": "OMAHA",
"state": "NE",
"postal_code": "681323136",
"telephone_number": "402-932-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8502 MORMON BRIDGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681521929",
"telephone_number": "402-991-8558",
"fax_number": "402-455-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ANTHONY",
"middle_name": "RAYMOND",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDHHS",
"identifier": "913",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.