Individual provider Active NPI

Megan Nicole Brausam

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1023611142
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5585 Erindale Dr Ste 204
Colorado Springs, CO 80918-6969
Phone
(719) 345-2424
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

5585 Erindale Dr Ste 204
Colorado Springs, CO 80918-6969

Mailing address

2902 Airport Rd Apt 230
Colorado Springs, CO 80910-3071
Phone (661) 305-0489

Other practice location 1

2902 Airport Rd Apt 230
Colorado Springs, CO 80910-3071
Phone (661) 305-0489

Other practice location 2

350 Lyckman Pl
Fountain, CO 80817-2861
Phone (719) 491-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602000029 CO Practitioner - Mental Health Counselor 3476062563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Colorado Springs, CO 80906
Phone (661) 305-0489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Realm Counseling Professional CurrentSince May 1, 2025 Accepting new patients
Overcomers Counseling Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1023611142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 AIRPORT RD APT 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103071",
            "telephone_number": "661-305-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 ERINDALE DR STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186969",
            "telephone_number": "719-345-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 Airport Rd Apt 230",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103071",
            "country_code": "US",
            "telephone_number": "661-305-0489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Lyckman Pl",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808172861",
            "country_code": "US",
            "telephone_number": "719-491-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUSAM",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.