Individual provider Active NPI

Carlyle Quinn Brooke, CPFS, AAT

  • Peer Specialist
  • Boulder, CO
National Provider Identifier
1962355297
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CPFS-2441 Issued in CO
Practice address
3340 Mitchell LN
Boulder, CO 80301-2273
Phone
(303) 499-5777
NPI assigned
Feb 17, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CPFS-2441 CO Primary

Addresses

Primary practice location

3340 Mitchell LN
Boulder, CO 80301-2273

Mailing address

3340 Mitchell LN
Boulder, CO 80301-2273
Phone (303) 499-5777

Other practice location 1

1443 Spruce St
Boulder, CO 80302-4814
Phone (303) 499-5777

Other names 1

  • Carly Quinn Brooke Former name

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
CPFS-2441COMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Pride Dba Rocky Mountain Equality PastSince Mar 1, 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": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1962355297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 MITCHELL LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012273",
            "telephone_number": "303-499-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 MITCHELL LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012273",
            "telephone_number": "303-499-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1443 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803024814",
            "country_code": "US",
            "telephone_number": "303-499-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKE",
        "first_name": "CARLYLE",
        "middle_name": "QUINN",
        "credential": "CPFS, AAT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CO",
            "license": "CPFS-2441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "BROOKE",
            "middle_name": "QUINN",
            "credential": "CPFS, AAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 17, 2026; 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.