Organization Active NPI

Allen L Brooks Professional Counseling Service

  • Community/Behavioral Health Agency
  • Aberdeen, NC
National Provider Identifier
1023598448
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5481S Issued in NC
Legal business name
ALLEN L BROOKS PROFESSIONAL COUNSELING SERVICE
Practice address
212 Elm St
Aberdeen, NC 28315-2802
Phone
(910) 944-0473
Fax
(910) 757-0041
NPI assigned
Aug 15, 2018
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Allen L Brooks, MA, NBCC, CSOS, LPCSNPI 1720158389
Title
President
Phone
(910) 364-8930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Community/Behavioral Health Agency 251S00000X 5481S NC Primary

Addresses

Primary practice location

212 Elm St
Aberdeen, NC 28315-2802

Mailing address

212 Elm St
Aberdeen, NC 28315-2802
Phone (910) 944-0473

Other names 1

  • Allen Broooks Professional Counseling Service Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405003181 NC Part B Supplier - Clinic/Group Practice 0446698690 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1023598448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ELM ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152802",
            "telephone_number": "910-944-0473",
            "fax_number": "910-757-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ELM ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152802",
            "telephone_number": "910-944-0473",
            "fax_number": "910-757-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN L BROOKS PROFESSIONAL COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-364-8930",
        "authorized_official_credential": "MA, NBCC, CSOS, LPCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5481S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Broooks Professional Counseling Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.