Individual provider Active NPI

Brett Adamek

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1366909806
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2027 Broadway
Suite E
Boulder, CO 80302
Phone
(847) 208-9526
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 NU Primary

Addresses

Primary practice location

2027 Broadway
Suite E
Boulder, CO 80302

Mailing address

2027 Broadway
Suite E
Boulder, CO 80302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002111 CO Practitioner - Mental Health Counselor 4880023878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queer AsteriskGroup PAC ID 1153750146, 3 clinicians

Practice addresses (Care Compare)

1200 Yarmouth Ave
Unit C
Boulder, CO 80304-4803
Phone (720) 507-6161

1575 N Franklin St
Denver, CO 80218-1624
Phone (720) 507-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Queer Asterisk Mental Health CurrentSince Nov 1, 2019 Accepting new patients
Queer Asterisk Mental Health Past Accepting new patients

Locations

1200 Yarmouth Ave
Unit B
Boulder, CO 80304
Phone (303) 517-3409

2027 Broadway
Ste E
Boulder, CO 80302
Phone (847) 208-9526

1575 N Franklin St
Denver, CO 80218
Phone (303) 253-2187

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1366909806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 BROADWAY",
            "address_2": "SUITE E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 BROADWAY",
            "address_2": "SUITE E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "847-208-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMEK",
        "first_name": "BRETT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.