Individual provider Active NPI

Brionna Moore

  • Addiction (Substance Use Disorder) Counselor
  • Fort Collins, CO
National Provider Identifier
1225635063
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
706 S College Ave Ste 201
Fort Collins, CO 80524-9860
Phone
(970) 875-6116
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

706 S College Ave Ste 201
Fort Collins, CO 80524-9860

Mailing address

1335 W Elizabeth St Apt 211
Fort Collins, CO 80521-4549
Phone (562) 522-1648

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bmoore@aspenridgenorth.com Direct AspenRidge North

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspenridge North CurrentSince Feb 21, 2021 Accepting new patients

Locations

706 S College Ave
Ste 201
Fort Collins, CO 80524
Phone (877) 212-1238

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225635063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W ELIZABETH ST APT 211",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214549",
            "telephone_number": "562-522-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S COLLEGE AVE STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249860",
            "telephone_number": "970-875-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bmoore@aspenridgenorth.com",
            "affiliation": "Y",
            "affiliationName": "AspenRidge North",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "706 S College Ave Ste 201",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805249860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.