Dwayne C Brown, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00006325 Issued in WA

Practice address

19435 68TH Ave S
S-109
Kent, WA 98032-2102

Phone

(425) 251-1933

Fax

(425) 251-4996

NPI assigned

Mar 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alternative Counseling, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kent, WA
  • NPI 1598907651

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1962743021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19435 68TH AVE S",
            "address_2": "S-109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322102",
            "telephone_number": "425-251-1933",
            "fax_number": "425-251-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19435 68TH AVE S",
            "address_2": "S-109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322102",
            "telephone_number": "425-251-1933",
            "fax_number": "425-251-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DWAYNE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Leanne Brockschmidt, OTR/L
• Brooklyn Manor LLC
• Jazmin E Brooks
• Maria Christina O Brooks, M.D.
• Erin L Browder, RD
• Herbert Lee Brown Jr.
• Jody Brown
• Jordan Dwayne Brown
• Kelly Brown
• Keri Brown, MD

• Addiction (Substance Use Disorder) Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.