Active NPI
Brook Elizabeth Jenkins, M.A., L.P.C.
- Professional Counselor
- Durango, CO
National Provider Identifier
1871727453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 298
- Practice address
- 150 E 9TH St
RM. 202
Durango, CO 81301-5550 - Phone
- (970) 259-5818
- Fax
- (970) 403-3104
- NPI assigned
- May 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 298 | CO | Primary |
Addresses
Primary practice location
150 E 9TH St
RM. 202
Durango, CO 81301-5550
Mailing address
150 E 9TH St
RM. 202
Durango, CO 81301-5550
Phone (970) 259-5818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5480 | Other | CO | ANTHEM BLUE CROSS/BLUE SHIELD |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1871727453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 9TH ST",
"address_2": "RM. 202",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015550",
"telephone_number": "970-259-5818",
"fax_number": "970-403-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E 9TH ST",
"address_2": "RM. 202",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015550",
"telephone_number": "970-259-5818",
"fax_number": "970-403-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "BROOK",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
"identifier": "5480",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.