Individual provider Active NPI

Brooke Rambold

  • Mental Health Counselor
  • Fort Collins, CO
National Provider Identifier
1235005463
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LSW.0009925337 Issued in CO
Practice address
2608 Kansas Dr Apt C-116
Fort Collins, CO 80525-7654
Phone
(303) 902-7565
Fax
(303) 902-7565
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LSW.0009925337 CO Primary

Addresses

Primary practice location

2608 Kansas Dr Apt C-116
Fort Collins, CO 80525-7654

Mailing address

2608 Kansas Dr Apt C-116
Fort Collins, CO 80525-7654
Phone (303) 902-7565

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

LicenseStateTypeSpecialty
LSW.0009925337COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1235005463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KANSAS DR APT C-116",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257654",
            "telephone_number": "303-902-7565",
            "fax_number": "303-902-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KANSAS DR APT C-116",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257654",
            "telephone_number": "303-902-7565",
            "fax_number": "303-902-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBOLD",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LSW.0009925337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 14, 2025; 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.