Individual provider Active NPI

Brandy Jo Metzger

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1396507653
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0021597 Issued in CO
Practice address
2960 N Academy Blvd Ste 203
Colorado Springs, CO 80917-5303
Phone
(720) 810-7990
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 LPCC.0021597 CO Primary

Addresses

Primary practice location

2960 N Academy Blvd Ste 203
Colorado Springs, CO 80917-5303

Mailing address

16438 County Road 169
Matheson, CO 80830-9604
Phone (720) 810-7990

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
LPCC.0021597COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Calling Counseling Mental Health CurrentSince Jan 28, 2024 Accepting new patients

Locations

2960 N Academy Blvd
Ste 203
Colorado Springs, CO 80917
Phone (719) 309-7893

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1396507653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16438 COUNTY ROAD 169",
            "city": "MATHESON",
            "state": "CO",
            "postal_code": "808309604",
            "telephone_number": "720-810-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 N ACADEMY BLVD STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175303",
            "telephone_number": "720-810-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "BRANDY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0021597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.