AUTUMN ROSE PATRICK
NPI 1184208092
Counselor - Addiction (Substance Use Disorder) in Norfolk, NE

Q: What is Autumn Patrick's NPI number?

The NPI number for Autumn Patrick is 1184208092. It was assigned to this individual provider in the NPPES registry on May 6, 2021. The provider is also known as Autumn Titus.

Q: What is Autumn Patrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Patrick was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment

333 W NORFOLK AVE STE 201, NORFOLK, NE 68701(402) 379-2030(402) 379-3933 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2026, Jul 1, 2025, Sep 13, 2024 and 1 more (4 updates tracked since 2021).

On this page

About Autumn Rose Patrick NPPES

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

AUTUMN ROSE PATRICK (NPI 1184208092) is an individual addiction (substance use disorder) provider in Norfolk, Nebraska, licensed in Nebraska (1547) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184208092

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameAUTUMN ROSE PATRICK

Location Address333 W NORFOLK AVE STE 201Norfolk, NE 68701-5221

Mailing Address333 W Norfolk Ave Ste 201Norfolk, NE 68701-5221 · (402) 379-2030 · Fax (402) 379-3933

Phone(402) 379-2030

Fax(402) 379-3933

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 6, 2021

Last NPPES UpdateApril 13, 20264 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1184208092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NE · 1547

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 14511 (NE)

333 W NORFOLK AVE STE 201, Norfolk, NE 68701

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Other Names 1

Former Name (1)Autumn Titus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Autumn Rose Patrick 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 ID6406297647

PECOS Enrollment IDI20240518000067

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.

Other Providers at the Same Location NPPES 20

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

BRENT JAMES SELL PLADC

Counselor (Addiction (Substance Use Disorder))