Individual provider Active NPI

Stephanie Brooks, LPC

  • Mental Health Counselor
  • Longmont, CO
National Provider Identifier
1659965093
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0019915 Issued in CO
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

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117004795 CO Practitioner - Mental Health Counselor 3779935424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018158COMDMental Health Counselor
0019915COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Vedana Whole Being Therapy, LLC Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Mindfully, LLC Mental Health CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.