Individual provider Active NPI

Amy Lynn Brooten, MA, LAPC

  • Counselor
  • Greensboro, NC
National Provider Identifier
1033555461
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC003684 Issued in GA
Practice address
1301 Carolina St
Suite 114
Greensboro, NC 27401-1032
Phone
(336) 542-2060
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC003684 GA Primary

Addresses

Primary practice location

1301 Carolina St
Suite 114
Greensboro, NC 27401-1032

Mailing address

1301 Carolina St
Suite 114
Greensboro, NC 27401-1032
Phone (336) 542-2060

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APC003684GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Place Ministries, Inc. Past Accepting new patients

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1033555461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CAROLINA ST",
            "address_2": "SUITE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011032",
            "telephone_number": "336-542-2060",
            "fax_number": "888-458-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CAROLINA ST",
            "address_2": "SUITE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011032",
            "telephone_number": "336-542-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOTEN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC003684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.