Individual provider Active NPI

Kristi Brewster, LPC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
National Provider Identifier
1487123741
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0001461 Issued in CO
Practice address
2531 Airport Rd
Colorado Springs, CO 80910-3119
Phone
(719) 300-7021
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001461 CO Primary

Addresses

Primary practice location

2531 Airport Rd
Colorado Springs, CO 80910-3119

Mailing address

1905 Fulton CT
Colorado Springs, CO 80951-3202
Phone (719) 491-5280

Other practice location 1

1905 Fulton Ct
Colorado Springs, CO 80951-3202
Phone (719) 491-5280

Other identifiers 2

IdentifierTypeStateIssuer
ACD.0001461OtherCOLICENSED ADDICTION COUNSELOR
LPC.0016726OtherCOLICENSED PROFESSIONAL COUNSELOR

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
ACD.0001461COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1487123741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 FULTON CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809513202",
            "telephone_number": "719-491-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 AIRPORT RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103119",
            "telephone_number": "719-300-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Fulton Ct",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809513202",
            "country_code": "US",
            "telephone_number": "719-491-5280",
            "fax_number": "719-505-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "KRISTI",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADDICTION COUNSELOR",
            "identifier": "ACD.0001461",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC.0016726",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.