Kira J Brissenden II, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

989115 Issued in CO

Practice address

1650 38TH St Ste 100E
Boulder, CO 80301-2624

Phone

(720) 421-8550

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kira Brissenden Rooney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1295851483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W SYCAMORE CIR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272260",
            "telephone_number": "303-931-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 38TH ST STE 100E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012624",
            "telephone_number": "720-421-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSENDEN",
        "first_name": "KIRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "name_suffix": "II",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989115",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "989115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42801265",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRA",
            "last_name": "ROONEY",
            "middle_name": "BRISSENDEN",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian P Briggs, P.T.
• David Elliott Bright, MD
• Kathryn L Bright, LPC
• Heather Brighthoffmeyer, M.D.
• Brilliantly Sane Counseling and Coaching LLC
• Gloria Ruth Brisson, FNP
• Cindy Britan, LPC
• Scott Britan
• David Britt, DDS
• Gregory Joseph Britt, M.D.

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.