Healthcare Provider Details

I. General information

NPI: 1154072692
Provider Name (Legal Business Name): BRIAN MAGEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 COLORADO AVE # 200
GLENWOOD SPRINGS CO
81601-3349
US

IV. Provider business mailing address

516 N TRAVER TRL
GLENWOOD SPRINGS CO
81601-2870
US

V. Phone/Fax

Practice location:
  • Phone: 970-510-5851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0022486
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: