Active NPI
Julie Anne Braukhoff, LPC
- Mental Health Counselor
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2137
- Practice address
- 12161 Mercado Dr Unit 225
Venice, FL 34293-1147 - Phone
- (719) 635-0204
- Fax
- (303) 265-9858
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2137 | CO | Primary |
Addresses
Primary practice location
12161 Mercado Dr Unit 225
Venice, FL 34293-1147
Mailing address
12161 Mercado Dr Unit 225
Venice, FL 34293-1147
Phone (719) 635-0204
Other practice location 1
2140 Academy Cir Ste F
Colorado Springs, CO 80909-1673
Phone (719) 635-0204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115227 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2137 | CO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starfish Counseling, PC | Current | Accepting new patients |
Locations
1880 Dublin Blvd
Ste A
Colorado Springs, CO 80918
Phone (541) 351-9494
2140 Academy Cir
Ste F
Colorado Springs, CO 80909
Phone (719) 570-1225
12161 Mercado Dr
Venice, FL 34293
Phone (719) 635-0204
Organizations & group practices 1
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.
-
- Professional Counselor
- Venice, FL
- NPI 1346385341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1194871327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12161 MERCADO DR UNIT 225",
"city": "VENICE",
"state": "FL",
"postal_code": "342931147",
"telephone_number": "719-635-0204",
"fax_number": "303-265-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12161 MERCADO DR UNIT 225",
"city": "VENICE",
"state": "FL",
"postal_code": "342931147",
"telephone_number": "719-635-0204",
"fax_number": "303-265-9858"
}
],
"practiceLocations": [
{
"address_1": "2140 Academy Cir Ste F",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809091673",
"country_code": "US",
"telephone_number": "719-635-0204",
"fax_number": "303-265-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUKHOFF",
"first_name": "JULIE",
"middle_name": "ANNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "2137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115227",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.