Individual provider Active NPI

Nicole Anita Brown, LPC, LADC

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1962568410
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81099 Issued in TX
Practice address
1215 Crossroads Blvd Ste 106
Norman, OK 73072-3334
Phone
(940) 765-3687
NPI assigned
Dec 29, 2006
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X 14490 TX
Professional Counselor 101YP2500X 4666 OK
Professional Counselor 101YP2500X 953 OK
Professional Counselor 101YP2500X 81099 TX Primary

Addresses

Primary practice location

1215 Crossroads Blvd Ste 106
Norman, OK 73072-3334

Mailing address

1215 Crossroads Blvd Ste 106
Norman, OK 73072-3334
Phone (940) 765-3687

Other practice location 1

757 SW 13th St
Moore, OK 73160-2685
Phone (405) 248-0185

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

LicenseStateTypeSpecialty
953OKMDProfessional Counselor
81099TXMDProfessional Counselor
4666OKMDClinical Social Worker
14490TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dread Not Mammoth LLC Mental Health CurrentSince Aug 14, 2022 Accepting new patients

Locations

1215 Crossroads Blvd
Ste 106
Norman, OK 73072
Phone (405) 253-5417

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1962568410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CROSSROADS BLVD STE 106",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723334",
            "telephone_number": "940-765-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CROSSROADS BLVD STE 106",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723334",
            "telephone_number": "940-765-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 SW 13th St",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731602685",
            "country_code": "US",
            "telephone_number": "405-248-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "middle_name": "ANITA",
        "credential": "LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14490",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4666",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "953",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.