Active NPI
Jennifer Susan Brown, MA
- Counseling Psychologist
- Colorado Springs, CO
National Provider Identifier
1194271346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LPCC.0014819
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0014819 | CO | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counseling Psychologist
- Colorado Springs, CO
- NPI 1063078228
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1215783428
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1225844574
-
- Mental Health Counselor
- Alamosa, CO
- NPI 1649086901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.