Active NPI
Ilene Brandon
- Professional Counselor
- Littleton, CO
National Provider Identifier
1649768813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- NLC0107086
- Practice address
- 8191 Southpark LN Unit 201
Littleton, CO 80120-4641 - Phone
- (303) 726-5379
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NLC0107086 | CO | Primary |
Addresses
Primary practice location
8191 Southpark LN Unit 201
Littleton, CO 80120-4641
Mailing address
4999 Ashbrook Cir
Highlands Ranch, CO 80130-8923
Phone (303) 726-5379
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
| License | State | Type | Specialty |
|---|---|---|---|
| NLC0107086 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1649768813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4999 ASHBROOK CIR",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801308923",
"telephone_number": "303-726-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8191 SOUTHPARK LN UNIT 201",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801204641",
"telephone_number": "303-726-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "ILENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "NLC0107086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.