Individual provider Active NPI

Nicholas John Brown, M.S.

  • Mental Health Counselor
  • South Sioux City, NE
National Provider Identifier
1427215342
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001712 Issued in IA
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

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002094 NE Practitioner - Mental Health Counselor 1153770334 Reassigns benefits to 1 organization

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
Heartland Counseling Services, Inc.Group PAC ID 0749262509, 13 clinicians

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

LicenseStateTypeSpecialty
13R029IAMDAddiction (Substance Use Disorder) Counselor
1008NEMDAddiction (Substance Use Disorder) Counselor
001712IAMDMental Health Counselor
2432NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Counseling Services.Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heartland Counseling Services, Inc. CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.