Active NPIIndividual providerSole proprietor

Octavius L Brown, MSCC, LPC, LCADC

Counselor, Professional in Pennsville, New Jersey

NPI Number1811291560
Practice location
542 S Broadway Apt H19, Pennsville, NJ 08070-2675
Fax
856-759-4467
Last updated
August 29, 2022

Octavius L Brown is a Counselor, Professional based in Pennsville, NJ. Octavius L Brown practices in Pennsville, NJ and has the professional credentials of MSCC, LPC, LCADC. The NPI Number for Octavius L Brown is 1811291560 and holds a License No. 37PC00627500 (NJ). The current practice location address for Octavius L Brown is 542 S Broadway Apt H19, Pennsville, NJ 08070-2675 and can be reached out via phone at 914-261-6532 and via fax at 856-759-4467.

Provider Profile Details

NPI Number
1811291560
Provider Name
Octavius L Brown
Credential
MSCC, LPC, LCADC
Provider Entity Type
Individual
Gender
Male
Address
542 S Broadway Apt H19, Pennsville, NJ 08070-2675
Phone Number
914-261-6532
Fax Number
856-759-4467
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2011
Last Update Date
August 29, 2022
Certification Date
August 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
542 S Broadway Apt H19
Pennsville, NJ 08070-2675
Zip
08070-2675
Phone Number
914-261-6532
Fax Number
856-759-4467
Pennsville, NJ 08070Get directions →

Provider Business Mailing Address Details

Address
542 S Broadway Apt H19
Pennsville, NJ 08070-2675
City
Pennsville
State
NJ
Zip
08070-2675
Phone Number
914-261-6532
Fax Number
856-759-4467

License Information

License Number (1)
37PC00627500
License State (1)
NJ
Taxonomy (1)
Counselor · 101Y00000X
License Number (3)
25012
License State (3)
NY
License Number (4)
37LC00290600
License State (4)
NJ
Taxonomy (5)
Counselor, Mental Health · 101YM0800X
License Number (6)
37PC00627500
License State (6)
NJ
Taxonomy (6)
Counselor, Mental Health · 101YM0800X
License Number (7)
37PC00627500
License State (7)
NJ
Taxonomy (7)
Counselor, Pastoral · 101YP1600X
Taxonomy (8)
Counselor, Pastoral · 101YP1600X
Taxonomy (9)
Social Worker · 104100000X
License Number (10)
37PC00627500
License State (10)
NJ
Taxonomy (10)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Octavius L Brown, MSCC, LPC, LCADC?

The NPI number of Octavius L Brown, MSCC, LPC, LCADC is 1811291560. It was assigned on January 10, 2011 and is currently active in the NPPES registry.

What is the specialty of Octavius L Brown, MSCC, LPC, LCADC?

Octavius L Brown, MSCC, LPC, LCADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00627500.

Where does Octavius L Brown, MSCC, LPC, LCADC practice?

The practice location is 542 S Broadway Apt H19, Pennsville, NJ 08070-2675. The office can be reached at 914-261-6532 (phone) or 856-759-4467 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811291560 directly on the NPPES registry website.

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