Individual provider Active NPI

Autumn Rose Patrick

  • Addiction (Substance Use Disorder) Counselor
  • Norfolk, NE
National Provider Identifier
1184208092
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1547 Issued in NE
Practice address
333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221
Phone
(402) 379-2030
Fax
(402) 379-3933
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14511 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 1547 NE Primary

Addresses

Primary practice location

333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221

Mailing address

333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221
Phone (402) 379-2030

Other names 1

  • Autumn Titus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240518000067 NE Practitioner - Mental Health Counselor 6406297647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Counseling InternationalGroup PAC ID 1456367168, 12 clinicians

Practice addresses (Care Compare)

333 W Norfolk Ave
201 Oasis Counseling Intl
Norfolk, NE 68701-5221
Phone 4023792030201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1547NEMDAddiction (Substance Use Disorder) Counselor
14511NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling International Addiction (Substance Use Disorder) CurrentSince Apr 23, 2024 Accepting new patients

Locations

333 W Norfolk Ave
Ste 201
Norfolk, NE 68701
Phone (402) 379-2030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1184208092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "AUTUMN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14511",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "TITUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.