Individual provider Active NPI

Bryttani A Krob, LPCC

  • Mental Health Counselor
  • Durango, CO
National Provider Identifier
1124808332
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0020800 Issued in CO
Practice address
727 E 5TH Ave Apt 2
Durango, CO 81301-5368
Phone
(970) 739-4539
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0020800 CO Primary

Addresses

Primary practice location

727 E 5TH Ave Apt 2
Durango, CO 81301-5368

Mailing address

727 E 5TH Ave Apt 2
Durango, CO 81301-5368
Phone (970) 739-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0020800COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1124808332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E 5TH AVE APT 2",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015368",
            "telephone_number": "970-739-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E 5TH AVE APT 2",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015368",
            "telephone_number": "970-739-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROB",
        "first_name": "BRYTTANI",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0020800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.