Individual provider Active NPI

Joseph D Brown I, LCMHC, LCASA

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1144741836
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9639 Issued in OR
Practice address
11740 SW 68TH Pkwy Ste 200
Tigard, OR 97223-9058
Phone
(971) 352-6971
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A13087 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-24732 NC
Mental Health Counselor 101YM0800X 13087 NC
Mental Health Counselor 101YM0800X C9639 OR Primary

Addresses

Primary practice location

11740 SW 68TH Pkwy Ste 200
Tigard, OR 97223-9058

Mailing address

2355 State St Ste 101
Salem, OR 97301-4541
Phone (919) 429-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240227001807 NC Practitioner - Mental Health Counselor 7618312950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Dawn Psychiatric Services PLLCGroup PAC ID 6204159320, 7 clinicians

Practice addresses (Care Compare)

111 Airport Rd
Kinston, NC 28501-1603
Phone (252) 686-8091

2459 Emerald PL
Suite 102
Greenville, NC 27834-5739
Phone (252) 689-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-24732NCMDAddiction (Substance Use Disorder) Counselor
A13087NCMDMental Health Counselor
C9639ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Psychiatric Services, PLLC CurrentSince Jan 9, 2024 Accepting new patients
Anesthesia Services Associates, PLLC Past Accepting new patients

Locations

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

Organizations & group practices 2

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1144741836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STATE ST STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014541",
            "telephone_number": "919-429-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SW 68TH PKWY STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239058",
            "telephone_number": "971-352-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCMHC, LCASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13087",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24732",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13087",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.