Individual provider Active NPI

Calie Brown, LAC, LPC, LPCC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1821508698
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
984-12-01-18-411 Issued in ND
Practice address
107 W Main Ave Ste 350
Bismarck, ND 58501-3893
Phone
(800) 627-8220
Fax
(651) 925-0057
NPI assigned
Oct 6, 2017
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1804 NU
Professional Counselor 101YP2500X 984-12-01-18A ND
Professional Counselor 101YP2500X 984-12-01-18-411 ND Primary

Addresses

Primary practice location

107 W Main Ave Ste 350
Bismarck, ND 58501-3893

Mailing address

1720 Burnt Boat Dr
Bismarck, ND 58503-0801

Other practice location 1

2207 E Main Ave
Bismarck, ND 58501-4910
Phone (701) 255-1165

Other practice location 2

906 1/2 S 17th St
Bismarck, ND 58504
Phone (701) 255-3717

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1821508698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 BURNT BOAT DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN AVE STE 350",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013893",
            "telephone_number": "800-627-8220",
            "fax_number": "651-925-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2207 E Main Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014910",
            "country_code": "US",
            "telephone_number": "701-255-1165",
            "fax_number": "651-925-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 1/2 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "58504",
            "country_code": "US",
            "telephone_number": "701-255-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CALIE",
        "credential": "LAC, LPC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": "1804",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "984-12-01-18A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "984-12-01-18-411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.