Nicole Marie Brewer, CPC, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP0069 Issued in NV

Practice address

2470 Saint Rose Pkwy Ste 201
Henderson, NV 89074-7774

Phone

(702) 496-6562

Fax

(702) 993-8283

NPI assigned

Nov 22, 2010

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Nicole Marie Weatherman Former name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rethink Therapy, LLC

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1508317256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1790087807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747774",
            "telephone_number": "702-496-6562",
            "fax_number": "702-993-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747774",
            "telephone_number": "702-496-6562",
            "fax_number": "702-993-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "323-LC",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WEATHERMAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "CPC, LCADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Brensinger, CST
• Colleen Sue Breslin, FASA
• Bretton Dialysis LLC (The District Dialysis)
• Hisani Almaz Brewer
• Natalie Brewer
• Amy Brewster, PT
• Kaylee Brewster
• Brian G Sanford, DDS., LTD (Green Valley Smile Care)
• Brian Jonathan Lipman MD PC
• Brian Pierson M.D. PLLC

• Mental Health Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.