Individual provider Active NPI

Brooke Snow, MA, LPCC-S

  • Professional Counselor
  • New Carlisle, OH
National Provider Identifier
1043825102
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2001888 Issued in OH
Practice address
523 Hamilton Ave
New Carlisle, OH 45344-1546
Phone
(937) 426-2113
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2001888 OH Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

523 Hamilton Ave
New Carlisle, OH 45344-1546

Mailing address

523 Hamilton Ave
New Carlisle, OH 45344-1546

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
E.2001888OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Mind Counseling & Consultation, LLC CurrentSince Dec 7, 2025 Accepting new patients
Innersight Counseling Professionals LLC Professional PastSince Sep 20, 2020 Accepting new patients

Locations

509 S Fountain Ave
Springfield, OH 45506
Phone (309) 645-5291

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1043825102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 HAMILTON AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 HAMILTON AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441546",
            "telephone_number": "937-426-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "BROOKE",
        "credential": "MA, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001888",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.