| Charles Nicholas Brown, LPCC | |
|
200 W 3rd St, Newport, KY 41071-1814 | |
| (859) 301-5901 | |
| (859) 301-5940 |
| Full Name | Charles Nicholas Brown |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 200 W 3rd St, Newport, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013350867 | NPI | - | NPPES |
| 610661458 | Other | KY | TAX ID |
| 611300608 | Other | KY | TAX IDENTIFICATION NUMBER |
| 0155170 | Medicaid | OH | |
| 7100333760 | Medicaid | KY |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Nicholas Brown, LPCC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Charles Nicholas Brown, LPCC 200 W 3rd St, Newport, KY 41071-1814 Ph: (859) 301-5901 |
Erika Muncy, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 Columbia St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Amy Marie Welch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-781-5596 | |
Ms. Susan Hogan, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 Columbia St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Rachael Demir, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-578-3200 Fax: 859-534-2627 | |
Sydney K Harvey, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Lauren Hughes, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 |