DR. SUPAVAN K BROWN PH.D.
NPI 1124391388
Psychologist - Counseling in Lees Summit, MO

Active since February 20, 2012PECOS EnrolledAccepts Medicare Assignment
85.29/100
CMS Quality Rating
300 SE 2ND ST, SUITE 100, LEES SUMMIT, MO 64063(816) 404-6189(816) 525-2251 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Supavan K Brown Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUPAVAN K BROWN PH.D. (NPI 1124391388) is an individual counseling provider in Lees Summit, Missouri, licensed in Missouri (2011038966) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with University Health Lakewood Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124391388
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. SUPAVAN K BROWNCredential: PH.D.
Location Address300 SE 2ND ST, SUITE 100Lees Summit, MO 64063-2759
Mailing Address300 Se 2nd St, Suite 100Lees Summit, MO 64063-2759 · (816) 404-6189 · Fax (816) 525-2251
Fax(816) 525-2251
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 20, 2012
NPI 1124391388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MO · 2011038966
Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

300 SE 2ND ST, Lees Summit, MO 64063

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Supavan K Brown Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789845967
PECOS Enrollment IDI20120416000287
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health, initial 30 minutes 96158
This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.
69 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.76
Promoting Interoperability100
Improvement Activities40
Cost46.54

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
300 SE 2ND ST, SUITE 100
LEES SUMMIT, MO 64063
Psychologist (Clinical)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Counselor (Professional)
300 SE 2ND ST, SUITE 201
LEES SUMMIT, MO 64063
Psychologist
300 SE 2ND ST
LEES SUMMIT, MO 64063
Psychologist
300 SE 2ND ST
LEES SUMMIT, MO 64063
Nurse Practitioner (Psychiatric/Mental Health)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Counselor (Professional)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Psychologist (Clinical)
300 SE 2ND ST
LEES SUMMIT, MO 64063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supavan Brown's NPI number?

The NPI number for Supavan Brown is 1124391388. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Supavan Brown located?

Supavan Brown practices at 300 SE 2nd St Suite 100, Lees Summit, MO 64063. The listed phone number is (816) 404-6189.

What is Supavan Brown's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Supavan Brown enrolled in Medicare?

Yes. Supavan Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Supavan Brown accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and Oscar Insurance Company list Supavan Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Supavan Brown affiliated with any hospitals?

According to CMS data, Supavan Brown is affiliated with University Health Lakewood Medical Center.

When was this NPI record last updated?

The NPPES record for Supavan Brown was last updated on February 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.