Amy Nichole Brown, LCMHC LASUDC LCAS in Provo, UT

Amy Nichole Brown, LCMHC LASUDC LCAS is a medicare enrolled "Counselor - Mental Health" provider in Provo, Utah. Her current practice location is 1185 E 300 N, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 852-4472.

Amy Nichole Brown is licensed to practice in Utah (license number 310249-6004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750783783.

Contact Information

	Amy Nichole Brown, LCMHC LASUDC LCAS
	1185 E 300 N, Provo, UT 84606-3539
	(801) 852-4472
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Nichole Brown
Gender	Female
Speciality	Counselor - Mental Health
Location	1185 E 300 N, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750783783
Provider Enumeration Date: 09/22/2014
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0345680336
Enrollment ID: I20240424001088

Medical Identifiers

Medical identifiers for Amy Nichole Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750783783	NPI	-	NPPES
310249-6008	Other	UT	STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
11750	Other	NC	NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
23883	Other	NC	NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
310249-6004	Other	UT	STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	310249-6008 (Utah)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	23883 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	11750 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	11750 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	310249-6004 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Nichole Brown allows following entities to bill medicare on her behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Nichole Brown is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Nichole Brown, LCMHC LASUDC LCAS 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4670	Amy Nichole Brown, LCMHC LASUDC LCAS 1185 E 300 N, Provo, UT 84606-3539 Ph: (801) 852-4472

Reviews and Comments

Counselor in Provo, UT

Susan Easton Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-7620 Fax: 801-422-0165
Daniel Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-375-4240 Fax: 801-375-4241
Vicki Goodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-420-0465 Fax: 801-375-4241
Colbey Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 N 1850 W, Provo, UT 84604 Phone: 801-375-4240 Fax: 801-375-4241
Maurhy Alfredo Meneses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N 1375 W, Provo, UT 84604 Phone: 801-375-2523 Fax: 801-375-2523
David Skiles, CMHC Counselor Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639
Scott D Owen, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 N 100 E Ste 100, Provo, UT 84604 Phone: 801-356-0014 Fax: 801-373-3655

Amy Nichole Brown, LCMHC LASUDC LCAS - Medicare Counselor in Provo, UT