Robert Jonathan Brooks, LCSW, ACSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904000873 Issued in VA

Practice address

3516 Plank Rd
Suite 5-C
Fredericksburg, VA 22407-6861

Phone

(540) 786-3049

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Life Source Counseling Center, Inc

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1801565999
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053350801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078336",
            "telephone_number": "540-898-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 PLANK RD",
            "address_2": "SUITE 5-C",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076861",
            "telephone_number": "540-786-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ROBERT",
        "middle_name": "JONATHAN",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904000873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Linden Brooks II, D.C.
• Faten K Brooks, RPH
• Kianna Brooks
• Nicole Marisa Brooks, NP
• Riley Brooks
• Traci Anne Brooks, RBT
• William Scott Brosche, MD
• Barrie Brown, CRNA
• Christa Noel Brown, NNP
• Christopher R. Brown, MPT, CSCS

• Mental Health Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.