Jamekah Brooks, MS, CADCII
Individual provider Active NPI Mental Health Counselor · Camilla, GA
NPI 1013306604 · NPPES record last updated Jan 20, 2015
Key facts
- NPI
- 1013306604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 198 S Macarthur Drive
Camilla, GA 31730 - Phone
- (229) 336-2247
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
198 S Macarthur Drive
Camilla, GA 31730
Mailing address
198 S Macarthur Drive
Camilla, GA 31730
Phone (229) 336-2247
NPI Registry JSON
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1013306604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 S MACARTHUR DRIVE",
"city": "CAMILLA",
"state": "GA",
"postal_code": "31730",
"telephone_number": "229-336-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 S MACARTHUR DRIVE",
"city": "CAMILLA",
"state": "GA",
"postal_code": "31730",
"telephone_number": "229-336-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JAMEKAH",
"credential": "MS, CADCII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camilla, GA
- Tracey Bostick
- Esther Bradshaw
- Trace Brantley
- Joshua Brazier
- Jana Hart Brock
- Diangelia Brown
- Trevor D Broyles
- Donald Christopher Brunelle
- Amanda Bryant
- Randin Burley
All providers in Camilla, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.