Nicholas Scott Brown
Individual provider Active NPI Mental Health Counselor · Covington, WA
NPI 1346724424 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1346724424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MC60981187 (WA)
- Practice address
- 17013 SE 262ND St
Covington, WA 98042-8395 - Phone
- (425) 765-2820
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60981187 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renton Area Youth and Family Services | Past | Accepting new patients | |
| Renton Are Youth and Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MC60981187 | WA | Yes |
Addresses
Primary practice location
17013 SE 262ND St
Covington, WA 98042-8395
Mailing address
17013 SE 262ND St
Covington, WA 98042-8395
Other providers in Covington, WA
- Cheyenne Boyle
- Kristy Claire Braunston
- Matthew S Bremmer
- Bright Rose Afh LLC
- Jessie Brown
- Zarel Brown
- Lindell Marie Bruce
- Heather Bruns
- Buchanan Chiropractic, PLLC
- Glenn Alan Buchanan
All providers in Covington, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.