Active NPI
Cameron Dion Brown
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Louisville, KY
National Provider Identifier
1144948274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Practice address
- 1467 S 9TH St
Louisville, KY 40208-2254 - Phone
- (502) 498-0908
- NPI assigned
- Aug 15, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Peer Specialist | 175T00000X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
1467 S 9TH St
Louisville, KY 40208-2254
Mailing address
1705 Crystal Springs Ave
Oshkosh, WI 54902-6122
Phone (920) 252-9024
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Culture Powered by Turf Shredders | Current | Accepting new patients | |
| Rhema of Fox Valley | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1467 S 9th St
Louisville, KY 40208
Phone (502) 496-4545
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1114637667
Addiction (Substance Use Disorder)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1386467678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1144948274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 CRYSTAL SPRINGS AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026122",
"telephone_number": "920-252-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 S 9TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402082254",
"telephone_number": "502-498-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAMERON",
"middle_name": "DION",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.