Individual provider Active NPI

Matthew Brous, LCPC, LCAC

  • Professional Counselor
  • Hays, KS
National Provider Identifier
1316340896
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2313 Issued in KS
Practice address
2703 Hall St Ste 5
Hays, KS 67601-1964
Phone
(785) 269-1011
Fax
(785) 329-4512
NPI assigned
Sep 29, 2014
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 326 KS
Professional Counselor 101YP2500X 2313 KS Primary

Addresses

Primary practice location

2703 Hall St Ste 5
Hays, KS 67601-1964

Mailing address

2703 Hall St Ste 5
Hays, KS 67601-1964
Phone (785) 269-1011

Other identifiers 1

IdentifierTypeStateIssuer
100240930AMedicaidKS

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
326KSMDAddiction (Substance Use Disorder) Counselor
2313KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Brous Professional Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Clinical Associates PA Past Accepting new patients

Locations

2703 Hall St
Ste 5
Hays, KS 67601
Phone (785) 269-1011

Organizations & group practices 2

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1316340896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 HALL ST STE 5",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011964",
            "telephone_number": "785-269-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 HALL ST STE 5",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011964",
            "telephone_number": "785-269-1011",
            "fax_number": "785-329-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCPC, LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "326",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.