Individual provider Active NPI

Annette Brown, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1427557271
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002021 Issued in CO
Practice address
2580 E Harmony Rd Ste 201
Fort Collins, CO 80528-9632
Phone
(970) 964-3133
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTC.0013902 CO
Marriage & Family Therapist 106H00000X MFT.0002021 CO Primary

Addresses

Primary practice location

2580 E Harmony Rd Ste 201
Fort Collins, CO 80528-9632

Mailing address

2580 E Harmony Rd Ste 201
Fort Collins, CO 80528-9632
Phone (970) 964-3133

Other identifiers 1

IdentifierTypeStateIssuer
9000196923MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL annette@sovereigntycounseling.com Direct Office Evolution

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
MFT.0002021COMDMarriage & Family Therapist
MFTC.0013902COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereignty Counseling Services, PLLC CurrentSince May 31, 2020 Accepting new patients

Locations

2580 E Harmony Rd
Ste 201
Fort Collins, CO 80528
Phone (308) 340-6061

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1427557271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 E HARMONY RD STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289632",
            "telephone_number": "970-964-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 E HARMONY RD STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289632",
            "telephone_number": "970-964-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0013902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000196923",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "annette@sovereigntycounseling.com",
            "affiliation": "Y",
            "endpointDescription": "professional/business email",
            "affiliationName": "Office Evolution",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2580 E Harmony Rd Ste 201",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805289632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.