Katie Brydon, LCSW, LAC,MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09924033 Issued in CO

Practice address

10050 Ralston Rd # 1 B/E
Arvada, CO 80004-8000

Phone

(720) 401-2340

NPI assigned

Dec 9, 2013

Last updated

Jan 30, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Road to Me Recovery Services

  • Clinic/Center
  • Arvada, CO
  • NPI 1407510357

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Road to Me Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Arvada, CO
  • NPI 1801760541

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Road to Me Recovery Services

  dba Studio Integration

  • Addiction (Substance Use Disorder) Counselor
  • Arvada, CO
  • NPI 1437834744
  NPD (past) Authorized official
• Road to Me Recovery Services

  • Nurse Practitioner
  • Arvada, CO
  • NPI 1841112968

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Stout Street Foundation

  dba Serenity

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
  • NPI 1104248947
  NPD (past) Authorized official
• Stout Street Foundation

  dba Serenity

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
  • NPI 1619270766
  Authorized official Same address or phone
• Stout Street Foundation

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
  • NPI 1841377876
  Authorized official Same address or phone
• Stout Street Foundation

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
  • NPI 1992925077
  Authorized official Same address or phone
• The Stout Street Foundation

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
  • NPI 1902109077
  Authorized official Same address or phone
• The Stout Street Foundation

  • Community/Behavioral Health Agency
  • Commerce City, CO
  • NPI 1992969448
  Authorized official Same address or phone

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1619308194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11857 KEOUGH DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331221",
            "telephone_number": "720-401-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 RALSTON RD # 1 B/E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800048000",
            "telephone_number": "720-401-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDON",
        "first_name": "KATIE",
        "credential": "LCSW, LAC,MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924033",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD0000390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Brudos-Nockels, MT-BC
• Kellee Ann Brudos-Nockels, RPT
• Diane Brunsdon-Jones, PT
• Bryan P. Savage, DDS PC (West Metro Pediatric Dentistry)
• Mindy Bryant
• Deborah Bryon, PH.D.
• Molly Buchan
• Brook Buchanan, RPH
• Ana Salas Buckman-Hart, M.S.W., L.C.S.W.
• Joshua Mark Bucur, PHARMD

• Clinical Social Worker in Arvada, CO
• Providers in Arvada, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.