Amber Elizabeth Brackett, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC.0018754 Issued in CO

Practice address

1642 S Quitman St
Denver, CO 80219-4449

Phone

(210) 502-1048

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revival Therapy Services LLCGroup PAC ID 2668919119, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Revival Therapy Services LLC

  • Professional Counselor
  • Denver, CO
  • NPI 1457008591
  Medicare reassignment Care Compare group NPD
• Revival Therapy Services LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1619780145

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1164190864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 S QUITMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194449",
            "telephone_number": "210-502-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 S QUITMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194449",
            "telephone_number": "210-502-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0018754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deniz Bozdag, DO
• Madison Bozik
• Sarah Brabbin
• Darlene Brace, LCSW LAC
• Jennifer E Bracher, MD
• Michael Brackett Jr., MA, NCC, LPC
• Nadia Brackett, LPC
• Jessica Pham Brackin, LPC
• Javon Bracy
• Peggy Joan Brada, M.D.

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.