Organization Active NPI

Nancy Brewer Memorial Foundation

  • Community/Behavioral Health Agency
  • Kettering, OH
National Provider Identifier
1467919449
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NANCY BREWER MEMORIAL FOUNDATION
Practice address
1524 E Stroop Rd Ste 300
Kettering, OH 45429-5059
Phone
(937) 541-0271
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Lucas Brewer, LPCC-SNPI 1821349812
Title
President
Phone
(937) 825-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1524 E Stroop Rd Ste 300
Kettering, OH 45429-5059

Mailing address

1524 E Stroop Rd Ste 300
Kettering, OH 45429-5059
Phone (937) 541-0271

Other identifiers 1

IdentifierTypeStateIssuer
0180459MedicaidOH

Other names 1

  • Family Matters Ohio Doing business as

National Provider Directory

National Provider Directory

Locations

1524 E Stroop Rd
Ste 300
Kettering, OH 45429
Phone (937) 541-0271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1467919449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 E STROOP RD STE 300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295059",
            "telephone_number": "937-541-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E STROOP RD STE 300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295059",
            "telephone_number": "937-541-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY BREWER MEMORIAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-825-3223",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Matters Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.