Individual provider Active NPI

Emma Brooks, LPAT

  • Art Therapist
  • Covington, KY
National Provider Identifier
1043067507
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
291685 Issued in KY
Practice address
502 Farrell Dr
Covington, KY 41011-3717
Phone
(859) 578-3200
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 291685 KY Primary

Addresses

Primary practice location

502 Farrell Dr
Covington, KY 41011-3717

Mailing address

503 Farrell Dr
Covington, KY 41011-3775
Phone (859) 578-3200

Other practice location 1

513 Madison Ave
Covington, KY 41011-1505
Phone (859) 578-3200

Other practice location 2

12 E 5th St
Newport, KY 41071-1618
Phone (859) 578-3200

Other practice location 3

7459 Burlington Pike
Florence, KY 41042-1553
Phone (859) 578-3200

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
291685KYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board PastSince Nov 19, 2001 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1043067507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113775",
            "telephone_number": "859-578-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113717",
            "telephone_number": "859-578-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111505",
            "country_code": "US",
            "telephone_number": "859-578-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410711618",
            "country_code": "US",
            "telephone_number": "859-578-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7459 Burlington Pike",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421553",
            "country_code": "US",
            "telephone_number": "859-578-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "EMMA",
        "credential": "LPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "291685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.