Individual provider Active NPI

Kelley Anne Brown, MA, LPC, LAC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1710113394
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0013144 Issued in CO
Practice address
100 Arapahoe Ave
Suite 7
Boulder, CO 80302-5854
Phone
(508) 240-4705
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005933-3 NY
Mental Health Counselor 101YM0800X 7970 MA
Mental Health Counselor 101YM0800X 8192 CT
Mental Health Counselor 101YM0800X 0013144 CO Primary

Addresses

Primary practice location

100 Arapahoe Ave
Suite 7
Boulder, CO 80302-5854

Mailing address

8645 Gold Peak PL Unit E
Highlands Ranch, CO 80130-7193
Phone (720) 215-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250422002740 CT Practitioner - Mental Health Counselor 8729503750 Reassigns benefits to 1 organization
I20250424001835 CO Practitioner - Mental Health Counselor 8729503750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0013144COMDMental Health Counselor
005933-3NYMDMental Health Counselor
7970MAMDClinical Psychologist
8192CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 21, 2025 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 1

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1710113394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 GOLD PEAK PL UNIT E",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801307193",
            "telephone_number": "720-215-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE",
            "address_2": "SUITE 7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "508-240-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELLEY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005933-3",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7970",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "8192",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0013144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.