Individual provider Active NPI

Brenda Lee Yang, RN, MA, LPC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1558523662
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1698 Issued in CO
Practice address
4410 Araphahoe Ave. #205
Boulder, CO 80303
Phone
(720) 530-9958
Fax
(303) 546-0047
NPI assigned
Jun 30, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1698 CO Primary

Addresses

Primary practice location

4410 Araphahoe Ave. #205
Boulder, CO 80303

Mailing address

4410 Araphahoe Ave. #205
Boulder, CO 80303
Phone (720) 530-9958

Other names 1

  • Brenda Lee Ramer Professional name

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1698COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558523662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 ARAPHAHOE AVE. #205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "720-530-9958",
            "fax_number": "303-546-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 ARAPHAHOE AVE. #205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "720-530-9958",
            "fax_number": "303-546-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "RN, MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "RAMER",
            "middle_name": "LEE",
            "credential": "RN, MA, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.