Healthcare Provider Details

I. General information

NPI: 1548912637
Provider Name (Legal Business Name): BRIANA MAHONEY JOHNSON MA, LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. BRIANA SUZANNE MAHONEY

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E EXPOSITION AVE STE 320
DENVER CO
80209-5033
US

IV. Provider business mailing address

3955 E EXPOSITION AVE STE 320
DENVER CO
80209-5033
US

V. Phone/Fax

Practice location:
  • Phone: 720-797-9900
  • Fax:
Mailing address:
  • Phone: 720-797-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0000852
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0012940
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: