Organization Active NPI

Becky Kusick, Ma, LPC, Inc

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1972681369
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
799 Issued in CO
Legal business name
BECKY KUSICK, MA, LPC, INC
Practice address
80 Garden Ctr Ste 122
Broomfield, CO 80020-1735
Phone
(303) 907-6499
Fax
(855) 812-8339
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Mrs. Becky Kusick, MA, LPC
Title
Owner
Phone
(303) 907-6499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 799 CO Primary

Addresses

Primary practice location

80 Garden Ctr Ste 122
Broomfield, CO 80020-1735

Mailing address

PO Box 511
Broomfield, CO 80038-0511
Phone (303) 907-6499

National Provider Directory

National Provider Directory

Locations

710 Burbank St
Ste C
Broomfield, CO 80020
Phone (303) 907-3475

80 Garden Ctr
Ste 122
Broomfield, CO 80020
Phone (303) 885-9588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1972681369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800380511",
            "telephone_number": "303-907-6499",
            "fax_number": "855-812-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 122",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201735",
            "telephone_number": "303-907-6499",
            "fax_number": "855-812-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY KUSICK, MA, LPC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KUSICK",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-907-6499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.