Active NPI
Stephanie Brooks, LPC
- Mental Health Counselor
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0019915
- Practice address
- 825 Delaware Ave # 206
Longmont, CO 80501-6169 - Phone
- (720) 526-8102
- NPI assigned
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0018158 | CO | |
| Mental Health Counselor | 101YM0800X | 0019915 | CO | Primary |
Addresses
Primary practice location
825 Delaware Ave # 206
Longmont, CO 80501-6169
Mailing address
825 Delaware Ave # 206
Longmont, CO 80501-6169
Phone (720) 526-8102
Other practice location 1
729 Walnut St Ste 5
Boulder, CO 80302-5361
Phone (303) 957-7655
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117004795 | CO | Practitioner - Mental Health Counselor | 3779935424 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018158 | CO | MD | Mental Health Counselor |
| 0019915 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully, LLC | Mental Health | Current | Accepting new patients |
| Vedana Whole Being Therapy, LLC | Mental Health | Current | Accepting new patients |
| Mindfully, LLC | Mental Health | Current | Accepting new patients |
Locations
729 Walnut St
Ste 5
Boulder, CO 80302
Phone (303) 957-7655
4380 S Syracuse St
Ste 320
Denver, CO 80237
Phone (303) 578-6336
825 Delaware Ave
Ste 206
Longmont, CO 80501
Phone (720) 526-8102
1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599
Organizations & group practices 3
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": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1659965093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 DELAWARE AVE # 206",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016169",
"telephone_number": "720-526-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 DELAWARE AVE # 206",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016169",
"telephone_number": "720-526-8102"
}
],
"practiceLocations": [
{
"address_1": "729 Walnut St Ste 5",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803025361",
"country_code": "US",
"telephone_number": "303-957-7655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "STEPHANIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0018158",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0019915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.