Individual provider Active NPI

Brooke Hall Allender Radech, TLMHC, NCC, SCHOOLCO

  • Mental Health Counselor
  • Bettendorf, IA
National Provider Identifier
1003451329
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
098346 Issued in IA
Practice address
3625 Utica Ridge Rd Ste F
Bettendorf, IA 52722-1653
Phone
(563) 359-6750
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 098346 IA Primary

Addresses

Primary practice location

3625 Utica Ridge Rd Ste F
Bettendorf, IA 52722-1653

Mailing address

27011 151St Ave
Long Grove, IA 52756-8719
Phone (563) 468-3333

Other names 1

  • Brooke Hall Allender Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lifeconnections.kasa-solutions.com Health Information Exchange (HIE) Life Connections Counseling Services, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
098346IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Connection, L.C. Single Specialty CurrentSince Sep 16, 2020 Accepting new patients

Locations

3625 Utica Ridge Rd
Ste F
Bettendorf, IA 52722
Phone (563) 293-6575

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003451329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27011 151ST AVE",
            "city": "LONG GROVE",
            "state": "IA",
            "postal_code": "527568719",
            "telephone_number": "563-468-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE RD STE F",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221653",
            "telephone_number": "563-359-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADECH",
        "first_name": "BROOKE",
        "middle_name": "HALL ALLENDER",
        "credential": "TLMHC, NCC, SCHOOLCO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "098346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lifeconnections.kasa-solutions.com",
            "affiliation": "Y",
            "endpointDescription": "web-based application is HIPAA compliant and secure.",
            "affiliationName": "Life Connections Counseling Services, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3625 Utica Ridge Rd Ste F",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527221653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "ALLENDER",
            "middle_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.