Individual provider Active NPI

Kimberly Anne Brown, CADC II , QMHA-R

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1689228751
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20-QMHA-R-0164 Issued in OR
Practice address
1040 Oak St
Eugene, OR 97401-3132
Phone
(541) 342-6987
NPI assigned
Jul 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19-R-20 OR
Mental Health Counselor 101YM0800X 20-QMHA-R-0164 OR Primary

Addresses

Primary practice location

1040 Oak St
Eugene, OR 97401-3132

Mailing address

78 Centennial Loop Ste a
Eugene, OR 97401-7900
Phone (541) 393-0777

Other practice location 1

1800 Lincoln Rd
Coos Bay, OR 97420-1925
Phone (541) 260-3267

Other identifiers 1

IdentifierTypeStateIssuer
19-R-20MedicaidOR

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

LicenseStateTypeSpecialty
19-R-20ORMDAddiction (Substance Use Disorder) Counselor
20-QMHA-R-0164ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Counseling and Education Services Inc. Addiction (Substance Use Disorder) PastSince Oct 21, 2025 Accepting new patients

Organizations & group practices 1

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": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1689228751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900",
            "telephone_number": "541-393-0777",
            "fax_number": "541-687-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013132",
            "telephone_number": "541-342-6987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974201925",
            "country_code": "US",
            "telephone_number": "541-260-3267",
            "fax_number": "541-808-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "CADC II , QMHA-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-27",
        "last_updated": "2026-08-02",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "19-R-20",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "20-QMHA-R-0164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-R-20",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.