Brittany A Brevard, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0012087 Issued in CO

Practice address

242 Linden St
Fort Collins, CO 80524-2424

Phone

(970) 924-0375

NPI assigned

Apr 23, 2008

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 21, 2024 through Feb 21, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1588839328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 VIEW POINTE DR",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805491664",
            "telephone_number": "970-924-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 LINDEN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242424",
            "telephone_number": "970-924-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7651 Livestock Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805249892",
            "country_code": "US",
            "telephone_number": "970-924-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREVARD",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0012087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan O Brennan, OT
• Matthew Brennecke, N.D.
• Rachel Elizabeth Brenner, MS
• Andrew Dustin Bressler, PA-C
• Brook Mariah Bretthauer, M.S.
• Kristy Brewbaker
• Barry Dominic Brewer, PH.D.
• Boone Brewer, D.D.S.
• Kristen Brewer, DPT
• Thomas Jon Brewer, DDS

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.