Addison B Brown
Individual provider Active NPI Professional Counselor · Brevard, NC
NPI 1881093151 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1881093151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 10805 (NC)
- Practice address
- 69 N Broad St
Brevard, NC 28712 - Phone
- (828) 631-3973
- Fax
- (828) 631-9280
- NPI assigned
- Aug 22, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2024 through Mar 4, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10805 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Next Chapter Counseling, PLLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10805 | NC | Yes |
| Mental Health Counselor | 101YM0800X | 10805 | NC |
Addresses
Primary practice location
69 N Broad St
Brevard, NC 28712
Mailing address
PO Box 2187
Sylva, NC 28779-2187
Phone (828) 631-3973
Other practice location 1
400 Fisher Rd
Brevard, NC 28712-3895
Phone (828) 631-3973
Other providers in Brevard, NC
- Brian Center Health & Rehab
- James Bridges
- W. McFarland Bridges II
- Charlotte Brinkman
- Janette Broda
- Elizabeth Ellen Brown
- Kelly Jean Brown
- Regina R Brown
- Theresa Browning
- Holly Marie Bruehl
All providers in Brevard, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.