Individual provider Active NPI

Nicole Marie Browning, MS, LMHC, CDPT

  • Mental Health Counselor
  • Long Beach, WA
National Provider Identifier
1215473202
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60880514 Issued in WA
Practice address
811 Pacific Ave S Ste 7
Long Beach, WA 98631-3544
Phone
(503) 440-3032
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 60595937 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X OR
Mental Health Counselor 101YM0800X 60880514 WA
Mental Health Counselor 101YM0800X MC 60566278 WA
Mental Health Counselor 101YM0800X LH60880514 WA Primary

Addresses

Primary practice location

811 Pacific Ave S Ste 7
Long Beach, WA 98631-3544

Mailing address

PO Box 100
Long Beach, WA 98631-0100
Phone (503) 440-3032

Other practice location 1

2700 Simpson Avenue
Suite 101
Aberdeen, WA 98520
Phone (360) 612-0012

Other practice location 2

1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400

Other identifiers 1

IdentifierTypeStateIssuer
2102553MedicaidWA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
60595937WAMDCounselor
60880514WAMDMental Health Counselor
LH60880514WAMDMental Health Counselor
MC 60566278WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Side Counseling PLLC CurrentSince Jan 5, 2020 Accepting new patients
Coda, Inc. Addiction (Substance Use Disorder) PastSince Aug 13, 2019 Accepting new patients
Coda, Inc. PastSince Feb 9, 2020 Accepting new patients
Columbia Wellness PastSince Jan 1, 2024 Accepting new patients

Locations

811 Pacific Ave S
Ste 7
Long Beach, WA 98631
Phone (503) 440-3032

Organizations & group practices 4

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1215473202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986310100",
            "telephone_number": "503-440-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PACIFIC AVE S STE 7",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313544",
            "telephone_number": "503-440-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Simpson Avenue",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "98520",
            "country_code": "US",
            "telephone_number": "360-612-0012",
            "fax_number": "360-218-5945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141328",
            "country_code": "US",
            "telephone_number": "503-239-8400",
            "fax_number": "503-239-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNING",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MS, LMHC, CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60595937",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60880514",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60566278",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60880514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.