DEREK BROGDON (NPI# 1285010587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285010587 |
| Entity Type | Individual |
| Full Name | DEREK BROGDON |
| Credential | LPC, LCDC-INTERN |
| Practice Address |
730 W Hampden Ave Ste 301 Englewood CO 80110-2110 |
| Practice Telephone | 2109076248 |
| Mailing Telephone | 2109076248 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 70484 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC.0014105 | CO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC.0014105 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8213 Fredericksburg Rd, San Antonio, TX 782293355 | 2108491244 | |
| 7700 E Peakview Ave Apt 462, Centennial, CO 801116878 | 2109076248 |
| Street Address |
730 W HAMPDEN AVE STE 301 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80110-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083114565 | Derek Brogdon Pllc | Counselor | 730 W Hampden Ave Ste 301, Englewood, CO 80110-2110 | 2018-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004844 | Amanda Laboy | Counselor | 75 Grand Ave Fl 1, Englewood, NJ 07631-3522 | 2019-10-08 |
| 1164084844 | Melissa Barone | Counselor | 4484 S Fox St, Englewood, CO 80110-5619 | 2019-07-02 |
| 1356805014 | Ashley Harding | Counselor | 4545 S University Blvd, Englewood, CO 80113-6059 | 2019-01-28 |
| 1356865513 | Katherine Linn | Counselor | 155 Inverness Dr W Ste 110, Englewood, CO 80112 | 2017-07-31 |
| 1659892131 | Danielle Rose Rabinovich | Counselor | 88 Inverness Cir E Ste 103, Englewood, CO 80112-5304 | 2017-07-05 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| 1194262329 | Teresa Powers | Counselor | 1201 W Stanford Ave, Englewood, CO 80110-5521 | 2017-01-26 |
| 1952764748 | David N Welch | Counselor | 16411 E Otero Ave, Englewood, CO 80112-4624 | 2016-03-30 |
| 1104201912 | Steven D Chen | Counselor | 61 Grand Avenue, Third Floor, Englewood, NJ 07631 | 2015-07-22 |
| 1396140067 | Trent Womeldorff | Counselor | 4201 S Pennsylvania St, Englewood, CO 80113-4749 | 2014-10-23 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on DEREK BROGDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.