Active NPI
Corey D Brown, PCC
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1396624862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CI5646
- Practice address
- 4670 S Fort Apache Rd Ste 180
Las Vegas, NV 89147-7961 - Phone
- (402) 830-4255
- NPI assigned
- Aug 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CI5646 | NV | Primary |
Addresses
Primary practice location
4670 S Fort Apache Rd Ste 180
Las Vegas, NV 89147-7961
Mailing address
732 S 6TH St Ste V
Las Vegas, NV 89101-6948
Phone (402) 830-4255
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI5646 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1396624862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 S 6TH ST STE V",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016948",
"telephone_number": "402-830-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 S FORT APACHE RD STE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477961",
"telephone_number": "402-830-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "COREY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-29",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CI5646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.