Active NPI
Vickey R Brown, CDCA
- Addiction (Substance Use Disorder) Counselor
- Beachwood, OH
National Provider Identifier
1932791332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 174041
- Practice address
- 25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637 - Phone
- (216) 910-9015
- Fax
- (216) 910-9015
- NPI assigned
- Feb 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 174041 | OH | Primary |
Addresses
Primary practice location
25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Mailing address
3969 Beechcreek Rd
Whitehall, OH 43213-2343
Phone (504) 333-3242
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Beachwood | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174041 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612656000000",
"number": "1932791332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3969 BEECHCREEK RD",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432132343",
"telephone_number": "504-333-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25201 CHAGRIN BLVD STE 390",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225637",
"telephone_number": "216-910-9015",
"fax_number": "216-910-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "VICKEY",
"middle_name": "R",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-07",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "174041",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Beachwood",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "25201 Chagrin Blvd Ste 390",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441225637",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.