Todd J Brown, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Winfield, KS
NPI 1619239605 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1619239605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 809 (KS)
- Practice address
- 500 Main St
Winfield, KS 67156-2106 - Phone
- (620) 402-6122
- Fax
- (620) 402-6043
- NPI assigned
- Jun 14, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Four County Mental Health Center Inc
Practice addresses (Care Compare)
3354 Hwy 160
Independence, KS 67301-7841
Phone (620) 331-1748
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240817000229 | KS | Practitioner - Mental Health Counselor | 1254879521 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809 | KS | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sedgwick | Current |
Accepting new patients | |
| County of Sedgwick | Current |
Accepting new patients | |
| County of Sedgwick | Current | Accepting new patients | |
| Four County Mental Health Center Inc | Current |
Accepting new patients | |
| Four County Mental Health Center, Inc. | Current |
Accepting new patients | |
| Preferred Family Healthcare, Inc. | Past | Accepting new patients |
Locations
1601 W 4th St
Coffeyville, KS 67337
Phone (620) 251-8180
3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
635 N Main St
Wichita, KS 67203
Phone (316) 660-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 809 | KS | Yes |
Addresses
Primary practice location
500 Main St
Winfield, KS 67156-2106
Mailing address
900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962
Other providers in Winfield, KS
- Matthew Thomas Boswell
- Branches of Life LLC
- Joshua Clayton Brandt
- Haleigh Ann Briggs
- Wayne Alvin Brooks
- Bryan C. Davis, M.D., P.a.
- Bryan K. Dennett, M.D., P.a.
- Cassidy Rae Bryant
- Gail L Burden
- Justin L Burden
All providers in Winfield, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.