Active NPI
Kelley Anne Brown, MA, LPC, LAC
- Mental Health Counselor
- Boulder, CO
National Provider Identifier
1710113394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0013144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013144 | CO | MD | Mental Health Counselor |
| 005933-3 | NY | MD | Mental Health Counselor |
| 7970 | MA | MD | Clinical Psychologist |
| 8192 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.