Provider Demographics
NPI:1386717445
Name:BROWN, SETH J (MA)
Entity type:Individual
Prefix:MR
First Name:SETH
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 O ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2647
Mailing Address - Country:US
Mailing Address - Phone:402-540-2973
Mailing Address - Fax:
Practice Address - Street 1:1919 S 40TH ST STE 206
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5247
Practice Address - Country:US
Practice Address - Phone:402-540-2973
Practice Address - Fax:888-959-0716
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3039101YM0800X
NE1574101YP2500X
NE576101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47075636930Medicaid
NE85691OtherNE BCBS
NE250730OtherMIDLANDS INSURANCE #
NE68506D003OtherTRICARE
NE47075636926Medicaid
NE10026070300Medicaid
NE456304000OtherMAGELLAN MIS PLAZA SITE