Individual provider Active NPI

Sonya M Brooks, MA CCS SLP

  • Speech-Language Pathologist
  • Lake Charles, LA
National Provider Identifier
1033227541
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4276 Issued in LA
Practice address
1727 Imperial Blvd BLDG 3
Lake Charles, LA 70605-5362
Phone
(337) 478-5880
Fax
(337) 478-5879
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4276 LA Primary

Addresses

Primary practice location

1727 Imperial Blvd BLDG 3
Lake Charles, LA 70605-5362

Mailing address

2501 Sutherland Rd
Lake Charles, LA 70611-3741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000295 LA Practitioner - Qualified Speech Language Pathologist 1759457195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Therapy Center, LLCGroup PAC ID 9931275377, 12 clinicians

Practice addresses (Care Compare)

1727 Imperial Blvd
BLDG 3
Lake Charles, LA 70605-5362

1727 Imperial Blvd
BLDG 3
Lake Charles, LA 70605-5393
Phone (337) 478-5880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Therapy Center, LLC Speech-Language Pathologist CurrentSince Jul 1, 2009 Accepting new patients

Locations

1727 Imperial Blvd
Bldg 3
Lake Charles, LA 70605
Phone (337) 478-5800

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1033227541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SUTHERLAND RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706113741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD BLDG 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-478-5880",
            "fax_number": "337-478-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SONYA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA CCS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.