Individual provider Active NPI

David Brewer, LPCC

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1386963882
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0601042 Issued in OH
Practice address
4030 Mount Carmel Tobasco Rd
Suite 102
Cincinnati, OH 45255-3400
Phone
(859) 653-2461
NPI assigned
May 24, 2010
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.0601042 OH Primary

Addresses

Primary practice location

4030 Mount Carmel Tobasco Rd
Suite 102
Cincinnati, OH 45255-3400

Mailing address

6072 Tosha Dr
Burlington, KY 41005-9302
Phone (859) 653-2461

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
E.0601042OHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1386963882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 TOSHA DR",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410059302",
            "telephone_number": "859-653-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOUNT CARMEL TOBASCO RD",
            "address_2": "SUITE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553400",
            "telephone_number": "859-653-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0601042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.