Active NPI
Robyn Watchorn Newbrey, LLC
- Mental Health Counselor
- South Sioux City, NE
National Provider Identifier
1174914360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1291
- Legal business name
- ROBYN WATCHORN NEWBREY, LLC
- Practice address
- 3900 Dakota Ave
Suite 4B
South Sioux City, NE 68776-3696 - Phone
- (712) 301-6529
- Fax
- (402) 925-7200
- NPI assigned
- Feb 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robyn Lynn Watchorn Newbrey, MA
- Title
- Owner
- Phone
- (712) 301-6529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1291 | NE | Primary |
Addresses
Primary practice location
3900 Dakota Ave
Suite 4B
South Sioux City, NE 68776-3696
Mailing address
3900 Dakota Ave
Suite 4B
South Sioux City, NE 68776-3696
Phone (712) 301-6529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264787-00 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
3900 Dakota Ave
Ste 4B
South Sioux City, NE 68776
Phone (712) 301-6529
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1174914360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE",
"address_2": "SUITE 4B",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "712-301-6529",
"fax_number": "402-925-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE",
"address_2": "SUITE 4B",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "712-301-6529",
"fax_number": "402-925-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBYN WATCHORN NEWBREY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-10",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "WATCHORN NEWBREY",
"authorized_official_first_name": "ROBYN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "712-301-6529",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100264787-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.