Brooke Coffey
Individual provider Active NPI Professional Counselor · Aztec, NM
NPI 1043691546 · NPPES record last updated Jun 1, 2023
Key facts
- NPI
- 1043691546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- .0015743 (CO)
- Practice address
- 813 Road 2900
Aztec, NM 87410-9760 - Phone
- (484) 364-1503
- Fax
- (484) 364-1503
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .0015743 | CO | MD | Professional Counselor |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Counseling Services Inc. | Past | Accepting new patients | |
| Pennsylvania Counseling Services Inc | Past | Accepting new patients |
Networks
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | .0015743 | CO | Yes |
Addresses
Primary practice location
813 Road 2900
Aztec, NM 87410-9760
Mailing address
813 Road 2900
Aztec, NM 87410-9760
Phone (484) 364-1503
Other providers in Aztec, NM
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Center for Valued Living, PLLC
- Amanda Clearwater
- Carson Jay Collins
- Roger Ronald Collins
- Community Midwives LLC
- Amanda Corbin
- Journii Cordova
All providers in Aztec, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.