Active NPI
Heather Brooke, LPC
- Professional Counselor
- South Fork, CO
National Provider Identifier
1457781346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0012680
- Practice address
- 26112 W US Hwy 160
South Fork, CO 81154-0001 - Phone
- (719) 480-1525
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0012680 | CO | Primary |
Addresses
Primary practice location
26112 W US Hwy 160
South Fork, CO 81154-0001
Mailing address
32 Buck Ridge CV
Jackson, TN 38305-9699
Phone (719) 480-1525
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.heathermeyerlpc.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0012680 | CO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Brooke, LPC, LLC | Professional | Current | Accepting new patients |
| Built to Recover | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Castle Rock, CO
- NPI 1386485761
-
- Psychiatric/Mental Health Nurse Practitioner
- Castle Rock, CO
- NPI 1053150482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1457781346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 BUCK RIDGE CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383059699",
"telephone_number": "719-480-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26112 W US HWY 160",
"city": "SOUTH FORK",
"state": "CO",
"postal_code": "811540001",
"telephone_number": "719-480-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKE",
"first_name": "HEATHER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2022-09-29",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0012680",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.heathermeyerlpc.com",
"affiliation": "N",
"address_1": "26112 W US Hwy 160",
"city": "South Fork",
"state": "CO",
"country_code": "US",
"postal_code": "811540001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Fork, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.