Provider Demographics
NPI:1336672609
Name:HUGHES, BRIAN (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 KOHL ST
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1820
Mailing Address - Country:US
Mailing Address - Phone:720-551-7556
Mailing Address - Fax:
Practice Address - Street 1:780 KOHL ST
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1820
Practice Address - Country:US
Practice Address - Phone:720-551-7556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001380101YA0400X
COLPC.0017597101YM0800X
101YP2500X
COACA.0007444101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional