Individual provider Active NPI

Elizabeth Eldridge Brandon, LMFT, CACII, CHT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1881069672
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0000599 Issued in CO
Practice address
219 W Magnolia St
Fort Collins, CO 80521-2926
Phone
(970) 829-7391
NPI assigned
Dec 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB.0007903 CO
Marriage & Family Therapist 106H00000X MFT.0000599 CO Primary

Addresses

Primary practice location

219 W Magnolia St
Fort Collins, CO 80521-2926

Mailing address

143 E Harvard St
Fort Collins, CO 80525-1735
Phone (970) 305-1505

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
ACB.0007903COMDAddiction (Substance Use Disorder) Counselor
MFT.0000599COMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449360000000",
    "number": "1881069672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E HARVARD ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251735",
            "telephone_number": "970-305-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAGNOLIA ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212926",
            "telephone_number": "970-829-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "ELIZABETH",
        "middle_name": "ELDRIDGE",
        "credential": "LMFT, CACII, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.0007903",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.