Active NPI
Nicholas John Brown, M.S.
- Mental Health Counselor
- South Sioux City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001712
- Practice address
- 1201 Arbor Drive
South Sioux City, NE 68776-2652 - Phone
- (402) 494-3337
- Fax
- (402) 494-3356
- NPI assigned
- May 19, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13R029 | IA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1008 | NE | |
| Mental Health Counselor | 101YM0800X | 3949 | NE | |
| Professional Counselor | 101YP2500X | 2432 | NE | |
| Mental Health Counselor | 101YM0800X | 001712 | IA | Primary |
Addresses
Primary practice location
1201 Arbor Drive
South Sioux City, NE 68776-2652
Mailing address
PO Box 355
South Sioux City, NE 68776-0355
Phone (402) 494-3337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Arbor Dr
South Sioux City, NE 68776-2421
Phone 4024943337112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13R029 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 1008 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 001712 | IA | MD | Mental Health Counselor |
| 2432 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Counseling Services.Inc. | Current | Accepting new patients | |
| Heartland Counseling Services, Inc. | Current | Accepting new patients |
Locations
938 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900
221 W Douglas St
Oneill, NE 68763
Phone (402) 336-2800
917 W 21st St
South Sioux City, NE 68776
Phone (402) 494-7655
1201 Arbor Dr
South Sioux City, NE 68776
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- South Sioux City, NE
- NPI 1033292784
-
- Community/Behavioral Health Agency
- Wayne, NE
- NPI 1306049424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1427215342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 355",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687760355",
"telephone_number": "402-494-3337",
"fax_number": "402-494-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ARBOR DRIVE",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762652",
"telephone_number": "402-494-3337",
"fax_number": "402-494-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2023-03-17",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "13R029",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1008",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3949",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2432",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.