Active NPI
Phoenix Brown, LPC, NCC
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1730617960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0016348
- Practice address
- 2950 Tennyson St
Denver, CO 80212 - Phone
- (303) 433-2541
- NPI assigned
- Jun 1, 2017
- Last updated
- Nov 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0016122 | CO | |
| Mental Health Counselor | 101YM0800X | NU | ||
| Mental Health Counselor | 101YM0800X | LPC.0016348 | CO | Primary |
Addresses
Primary practice location
2950 Tennyson St
Denver, CO 80212
Mailing address
1869 13TH Ave
Greeley, CO 80631-5456
Phone (307) 333-3598
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phoenix.brown@tennysoncenter.org | Tennyson Center for Children |
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 |
|---|---|---|---|
| LPC.0016348 | CO | MD | Mental Health Counselor |
| LPCC.0016122 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ember Wellness Services LTD. | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Wheat Ridge, CO
- NPI 1437742046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1730617960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1869 13TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315456",
"telephone_number": "307-333-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 TENNYSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "80212",
"telephone_number": "303-433-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PHOENIX",
"name_prefix": "Miss",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2023-11-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0016122",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0016348",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "phoenix.brown@tennysoncenter.org",
"affiliation": "Y",
"endpointDescription": "Secure Work Email",
"affiliationName": "Tennyson Center for Children",
"address_1": "2950 Tennyson St",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "80212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.