Jason Brewer, BS, MA
Individual provider Active NPI Counselor · Frisco, CO
NPI 1104636018 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1104636018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0022541 (CO)
- Practice address
- 321 Main Street
Frisco, CO 80443 - Phone
- (970) 409-7000
- NPI assigned
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0022541 | CO | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0022541 | CO | Yes |
Addresses
Primary practice location
321 Main Street
Frisco, CO 80443
Mailing address
PO Box 30
Frisco, CO 80443-0030
Phone (970) 409-7000
Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.