MEDICARE: MARGARET BRIMM CCJS, CAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	ACC.0003454	CO
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACC.0003454	CO

General Provider Information

NPI Number	:	1023991072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET BRIMM CCJS, CAS

Provider Business Mailing Address
First Line	:	PO BOX 4077
Second Line	:
City	:	WOODLAND PARK
State	:	CO
Zip	:	80866-4077
Country	:	US
Telephone Number	:	719-238-2908
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W MIDLAND AVE STE 202
Second Line	:
City	:	WOODLAND PARK
State	:	CO
Zip	:	80863-3197
Country	:	US
Telephone Number	:	719-678-2464
Fax Number	:	719-309-1323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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