Individual provider Active NPI

Kirk L Brown, L.M.H.P.

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1225272370
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2340 Issued in NE
Practice address
4830 Wilshire Blvd Ste 106
Lincoln, NE 68504-3365
Phone
(402) 770-0497
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2340 NE Primary

Addresses

Primary practice location

4830 Wilshire Blvd Ste 106
Lincoln, NE 68504-3365

Mailing address

4830 Wilshire Blvd Ste 106
Lincoln, NE 68504-3365
Phone (402) 770-0497

Other identifiers 1

IdentifierTypeStateIssuer
80003614126MedicaidNE

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

State licenses

LicenseStateTypeSpecialty
2340NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk L Brown CurrentSince Nov 19, 2023 Accepting new patients

Locations

4830 Wilshire Blvd
Ste 106
Lincoln, NE 68504
Phone (402) 770-0497

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1225272370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSHIRE BLVD STE 106",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043365",
            "telephone_number": "402-770-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 WILSHIRE BLVD STE 106",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043365",
            "telephone_number": "402-770-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIRK",
        "middle_name": "L",
        "credential": "L.M.H.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80003614126",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.