Individual provider Active NPI

Jessica A Disbrow, MSW, LCSW

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1518624741
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09931833 Issued in CO
Practice address
1255 Escalante Dr Apt 8310
Durango, CO 81303-8929
Phone
(720) 312-3278
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09931833 CO Primary

Addresses

Primary practice location

1255 Escalante Dr Apt 8310
Durango, CO 81303-8929

Mailing address

361 S Camino del Rio # 288
Durango, CO 81303-7997
Phone (720) 312-3278

Other names 1

  • Phoenix Rising Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address phoenix@napti.org Direct
Direct Messaging Address phoenix@therapy-for-rebels.com Direct

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
09931833COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Rebels PLLC Social Worker Current Accepting new patients

Locations

5335 W 48th Ave
Ste 500
Denver, CO 80212
Phone (303) 549-6342

361 S Camino del Rio
Durango, CO 81303
Phone (505) 860-9592

Interoperability endpoints

  • Direct secure messaging: phoenix@napti.org

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1518624741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S CAMINO DEL RIO # 288",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037997",
            "telephone_number": "720-312-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ESCALANTE DR APT 8310",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038929",
            "telephone_number": "720-312-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISBROW",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09931833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phoenix@napti.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1255 Escalante Dr Apt 8310",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813038929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phoenix@therapy-for-rebels.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1255 Escalante Dr Apt 8310",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813038929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PHOENIX",
            "last_name": "RISING",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.