Amy Nichole Brown, LCMHC LASUDC LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

310249-6004 Issued in UT

Practice address

1185 E 300 N
Provo, UT 84606-3539

Phone

(801) 852-4472

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Amy Nichole Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1750783783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N FREEDOM BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011677",
            "telephone_number": "801-373-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 E 300 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063539",
            "telephone_number": "801-852-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Union St S Ste 208",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251004",
            "country_code": "US",
            "telephone_number": "704-450-0215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMY",
        "middle_name": "NICHOLE",
        "credential": "LCMHC  LASUDC LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "310249-6008",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23883",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11750",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "310249-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING",
            "identifier": "310249-6008",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "11750",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD",
            "identifier": "23883",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING",
            "identifier": "310249-6004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BROWN",
            "middle_name": "NICHOLE",
            "credential": "LCAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason D Brotherson, A,P.R.N.
• Molly Brotherson, PA
• Tiffany Nicole Brouwer
• Ashlee Brown-Oyler, LCSW
• Amy Catherine Brown
• Anna Leigh Brown
• Anne Shirley Brown
• Ashanna Elizabeth Brown
• Avon A Brown, RN
• Brodrick Brown, PHD

• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.