Individual provider Active NPI

Phoenix Brown, LPC, NCC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1730617960
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0016348 Issued in CO
Practice address
2950 Tennyson St
Denver, CO 80212
Phone
(303) 433-2541
NPI assigned
Jun 1, 2017
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
LPC.0016348COMDMental Health Counselor
LPCC.0016122COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ember Wellness Services LTD. Mental Health PastSince Mar 27, 2022 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.

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.

Verify at the official NPI Registry.