Active NPI
Daniel Brown
- Professional Counselor
- Pueblo West, CO
National Provider Identifier
1003276395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0013607
- Practice address
- 352 E Walton Dr
Pueblo West, CO 81007-5009 - Phone
- (719) 924-4844
- NPI assigned
- Feb 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0013607 | CO | Primary |
Addresses
Primary practice location
352 E Walton Dr
Pueblo West, CO 81007-5009
Mailing address
352 E Walton Dr
Pueblo West, CO 81007-5009
Phone (719) 924-4844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013607 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1003276395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 E WALTON DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810075009",
"telephone_number": "719-924-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 E WALTON DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810075009",
"telephone_number": "719-924-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0013607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.