Individual provider Active NPI

Kelly Ann Garcia-Brauch, M.A.

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1407165491
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11221 Issued in CO
Practice address
1496 S Brentwood St
Lakewood, CO 80232-5331
Phone
(303) 829-7904
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 11221 CO Primary

Addresses

Primary practice location

1496 S Brentwood St
Lakewood, CO 80232-5331

Mailing address

1496 S Brentwood St
Lakewood, CO 80232-5331
Phone (303) 829-7904

Other practice location 1

1496 S Brentwood St
Lakewood, CO 80232-5331
Phone (303) 829-7904

Other practice location 2

1600 Specht Point Rd Ste 105
Fort Collins, CO 80525-4311
Phone (970) 494-5891

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11221COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Therapy Services, LLC CurrentSince May 7, 2024 Accepting new patients
Kaleidoscope Therapy Services, LLC Mental Health CurrentSince Aug 23, 2020 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. Past Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. Past Accepting new patients

Locations

8805 W 14th Ave
Ste 320
Lakewood, CO 80215
Phone (719) 213-0603

1880 S Pierce St
Ste 11
Lakewood, CO 80232
Phone (303) 949-7808

Organizations & group practices 4

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1407165491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 S BRENTWOOD ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325331",
            "telephone_number": "303-829-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 S BRENTWOOD ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325331",
            "telephone_number": "303-829-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1496 S Brentwood St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802325331",
            "country_code": "US",
            "telephone_number": "303-829-7904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Specht Point Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254311",
            "country_code": "US",
            "telephone_number": "970-494-5891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA-BRAUCH",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.