Brenda Sue Brown, LMHC
Individual provider Active NPI Mental Health Counselor · Ottumwa, IA
NPI 1780677385 · NPPES record last updated Jun 26, 2012
Key facts
- NPI
- 1780677385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 00786 (IA)
- Practice address
- 312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413 - Phone
- (641) 684-3135
- Fax
- (641) 684-3198
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00786 | IA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00786 | IA | Yes |
Addresses
Primary practice location
312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413
Mailing address
312 E Alta Vista Ave
Behavioral Health Counseling Services
Ottumwa, IA 52501-1413
Phone (641) 684-3135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I015 | Other | IA | TRIWEST |
| 222963 | Other | IA | IOWA HEALTH SOLUTIONS |
| 42068106021 | Other | IA | UNITED BEHAVIORAL HEALTH |
| 4208106021 | Other | IA | JOHN DEERE HEALTH |
Other names
- Brenda Sue Dahlin
Other providers in Ottumwa, IA
- Lara Danielle Bresee
- Bridge City Dental, PC
- Deborah Briggs
- Laura Lee Bright
- Allison Brown
- Kimberly Joan Brown
- Kelsee Browning
- Ashley Lynn Brownlee
- David Ira Bunce
- Susan Burgdorf
All providers in Ottumwa, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.