Individual provider Active NPI

Brianne Mary Rhodus, MA, LPC, LMT

  • Professional Counselor
  • Bayfield, CO
National Provider Identifier
1477214716
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0017094 Issued in CO
Practice address
149 Blue Ridge Cir
Bayfield, CO 81122-9838
Phone
(651) 894-4132
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Professional Counselor 101YP2500X 0017094 CO Primary

Addresses

Primary practice location

149 Blue Ridge Cir
Bayfield, CO 81122-9838

Mailing address

149 Blue Ridge Cir
Bayfield, CO 81122-9838

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BAYFIELD

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
0017094COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1477214716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BLUE RIDGE CIR",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BLUE RIDGE CIR",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229838",
            "telephone_number": "651-894-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODUS",
        "first_name": "BRIANNE",
        "middle_name": "MARY",
        "credential": "MA, LPC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BAYFIELD",
            "affiliation": "N",
            "address_1": "149 Blue Ridge Cir",
            "city": "Bayfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811229838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.