Active NPI
Brooke Davidson
- Professional Counselor
- Cody, WY
National Provider Identifier
1306694955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PPC-1558
- Practice address
- 1527 Rumsey Ave
Cody, WY 82414-3813 - Phone
- (307) 578-7770
- NPI assigned
- May 8, 2024
- Last updated
- Jun 23, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PPC-1558 | WY | Primary |
Addresses
Primary practice location
1527 Rumsey Ave
Cody, WY 82414-3813
Mailing address
1825 29TH St
Cody, WY 82414-9704
Phone (208) 830-7203
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 |
|---|---|---|---|
| PPC-1558 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Counselling, LLC | Professional | Current | Accepting new patients |
Locations
1527 Rumsey Ave
Cody, WY 82414
Phone (307) 578-7770
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Cody, WY
- NPI 1366195364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1306694955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 29TH ST",
"city": "CODY",
"state": "WY",
"postal_code": "824149704",
"telephone_number": "208-830-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 RUMSEY AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143813",
"telephone_number": "307-578-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "PPC-1558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.