Philip Keith McBrain, LPC, ADDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0016946 Issued in CO

Practice address

100 Arapahoe Ave Ste 12
Boulder, CO 80302-5862

Phone

(720) 445-9890

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1407249907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 ONEAL PKWY APT V31",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011490",
            "telephone_number": "646-549-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 12",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025862",
            "telephone_number": "720-445-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Broadway St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "80304",
            "country_code": "US",
            "telephone_number": "646-549-1825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 ONeal Pkwy Apt V31",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011490",
            "country_code": "US",
            "telephone_number": "646-549-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRAIN",
        "first_name": "PHILIP",
        "middle_name": "KEITH",
        "credential": "LPC, ADDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2021-09-14",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0014828",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "ADDC.0000015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lynne McAfee, FNP-C
• Mathias McAfee
• Hunter McAlpine
• Sean McAndrew, MA
• Terry Lynn McArthur, RD
• Kate Anine McBreen, DIPL. AC.
• Andrew James McBride, M.D.
• Kylie McBride, FNP-C
• Bethany McCabe, MS OTR/L
• Mary Alison McCabe, MS

• 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 Sep 14, 2021; 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.