Healthcare Provider Details

I. General information

NPI: 1437951407
Provider Name (Legal Business Name): BRENDA P SAMPSON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRENDA BROWN

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 29TH ST STE 500
BOULDER CO
80303-2357
US

IV. Provider business mailing address

777 29TH ST STE 500
BOULDER CO
80303-2357
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax: 888-965-4615
Mailing address:
  • Phone: 970-310-3406
  • Fax: 888-965-4615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0023015
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: