Organization Active NPI

Kirk L Brown

Doing business as None

  • Adult Mental Health Clinic/Center
  • Lincoln, NE
National Provider Identifier
1821878521
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KIRK L BROWN
Doing business as
None
Practice address
4830 Wilshire Blvd Ste 106
Lincoln, NE 68504-3365
Phone
(402) 770-0497
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Dr. Kirk L Brown, D.MIN.NPI 1225272370
Title
Doctor
Phone
(402) 770-0497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4830 Wilshire Blvd Ste 106
Lincoln, NE 68504-3365

Mailing address

4830 Wilshire Blvd Ste 106
Lincoln, NE 68504-3365
Phone (402) 770-0497

Other names 1

  • None Doing business as

National Provider Directory

National Provider Directory

Locations

4830 Wilshire Blvd
Ste 106
Lincoln, NE 68504
Phone (402) 770-0497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1821878521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSHIRE BLVD STE 106",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043365",
            "telephone_number": "402-770-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 WILSHIRE BLVD STE 106",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043365",
            "telephone_number": "402-770-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK L BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "402-770-0497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.