MR. CHARLES BROWN LPC, CAADC
NPI 1295015428
Counselor - Professional in Grand Rapids, MI

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-9124(616) 774-2173 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Charles Brown Lpc, Caadc NPPES

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

MR. CHARLES BROWN LPC, CAADC (NPI 1295015428) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401012389) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1295015428
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CHARLES BROWNCredential: LPC, CAADC
Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904
Mailing Address1115 Ball Ave NeGrand Rapids, MI 49505-5904 · (616) 456-9124 · Fax (616) 774-2173
Fax(616) 774-2173
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 19, 2011
✔ NPI 1295015428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401012389
1115 BALL AVE NE, Grand Rapids, MI 49505

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles Brown Lpc, Caadc 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 ID4385009968
PECOS Enrollment IDI20240319002581
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1115 BALL AVE NE
Grand Rapids, MI 49505
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Counselor (Addiction (Substance Use Disorder))
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505
Counselor
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1115 BALL AVE NE
GRAND RAPIDS, MI 49505

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 Charles Brown's NPI number?

The NPI number for Charles Brown is 1295015428. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Charles Brown located?

Charles Brown practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-9124.

What is Charles Brown's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Charles Brown enrolled in Medicare?

Yes. Charles 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.

Which organizations bill Medicare for Charles Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Brown reassigns Medicare benefits to 2 organizations: Arbor Circle Corporation (Grand Rapids, MI) and Kent County Cmh Authority (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Brown accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Brown was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.