Individual provider Active NPI

Jennifer Susan Brown, MA

  • Counseling Psychologist
  • Colorado Springs, CO
National Provider Identifier
1194271346
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LPCC.0014819 Issued in CO
Practice address
1802 Chapel Hills Dr Ste C
Colorado Springs, CO 80920-3736
Phone
(719) 641-0009
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LPCC.0014819 CO Primary

Addresses

Primary practice location

1802 Chapel Hills Dr Ste C
Colorado Springs, CO 80920-3736

Mailing address

1370 Berglind Rd
Colorado Springs, CO 80920-3105
Phone (719) 641-0009

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260331000174 CO Practitioner - Mental Health Counselor 3173008901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 E Polk St
Colorado Springs, CO 80907-6267

2650 Rustlers Canyon Loop
Elizabeth, CO 80107-7942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC.0014819COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pages of Hope Counseling and Wellness Past Accepting new patients
River of Life Counseling LLC Past Accepting new patients
River of Life Counseling LLC Counseling Past Accepting new patients
Pages of Hope Counseling and Wellness Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1194271346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BERGLIND RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203105",
            "telephone_number": "719-641-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CHAPEL HILLS DR STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203736",
            "telephone_number": "719-641-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "LPCC.0014819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.