Caroline Ivette Wendichansky Brodsky

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0106797 Issued in CO

Practice address

4720 Galley Rd
Colorado Springs, CO 80915-2735

Phone

(719) 422-7691

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1457921454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812150518",
            "telephone_number": "719-582-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 GALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152735",
            "telephone_number": "719-422-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDICHANSKY BRODSKY",
        "first_name": "CAROLINE",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0106797",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "00013891",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0106797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Anne Welsh, FNP-C
• Kim R. Welsh, AU.D., F-AAA, CCC-A
• Thomas C Welton, M.D.
• Michael J Wempe, M.D.
• Rudolph Richard Wencl, PA-C
• Ericka Wendorf, M.S., CCC-SLP
• Diane Wendt
• Rebecca Alene Wendt, M.D.
• Molly Wendte, AGACNP-BC
• Lois Wenger, MSN, ANP

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.