Active NPI
Andrea Brown, MS, LAC, NCAC II
- Addiction (Substance Use Disorder) Counselor
- Dillon, CO
National Provider Identifier
1063992287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACD.0001589
- Practice address
- 114 Village PL Ste 203
Dillon, CO 80435-6034 - Phone
- (970) 406-2620
- NPI assigned
- Aug 16, 2018
- Last updated
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001589 | CO | Primary |
| Mental Health Counselor | 101YM0800X | NLC.0008064 | CO |
Addresses
Primary practice location
114 Village PL Ste 203
Dillon, CO 80435-6034
Mailing address
PO Box 24591
Silverthorne, CO 80498
Phone (303) 565-0284
Other practice location 1
104 3rd Street REAR
Kremmling, CO 80459-8049
Phone (970) 406-2620
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
114 Village PL
Suite 203
Dillon, CO 80435-6518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0008064 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slopeside Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Slopeside Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
22869 US Highway 6
Keystone, CO 80435
Phone (970) 406-2620
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.
-
- Addiction (Substance Use Disorder) Counselor
- Dillon, CO
- NPI 1710570437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1063992287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24591",
"city": "SILVERTHORNE",
"state": "CO",
"postal_code": "80498",
"telephone_number": "303-565-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 VILLAGE PL STE 203",
"city": "DILLON",
"state": "CO",
"postal_code": "804356034",
"telephone_number": "970-406-2620"
}
],
"practiceLocations": [
{
"address_1": "104 3rd Street REAR",
"address_purpose": "LOCATION",
"city": "Kremmling",
"state": "CO",
"postal_code": "804598049",
"country_code": "US",
"telephone_number": "970-406-2620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "ANDREA",
"credential": "MS, LAC, NCAC II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001589",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0008064",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dillon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.