Organization Active NPI

Robyn Watchorn Newbrey, LLC

  • Mental Health Counselor
  • South Sioux City, NE
National Provider Identifier
1174914360
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1291 Issued in NE
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

Updated by the provider on Jul 1, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100264787-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.