Individual provider Active NPI

Lynn B. Brooks, MS ED. D.

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1053600551
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A8001 Issued in NC
Practice address
460 Sandybrooke Dr.
High Point, NC 27265
Phone
(404) 552-4284
NPI assigned
Apr 5, 2011
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8620494 SC
Professional Counselor 101YP2500X 8620494 GA
Professional Counselor 101YP2500X 40918375 MN
Professional Counselor 101YP2500X A8001 NC Primary
Case Manager/Care Coordinator 171M00000X 8620494 NC
Case Manager/Care Coordinator 171M00000X 8620494 GA
Case Manager/Care Coordinator 171M00000X 40918375 MN

Addresses

Primary practice location

460 Sandybrooke Dr.
High Point, NC 27265

Mailing address

460 Sandybrooke Dr
High Point, NC 27265-2923
Phone (404) 552-4284

Other identifiers 4

IdentifierTypeStateIssuer
8620494OtherGAHEALTHCARE MARKETPLACE NPN
40918375OtherMNACCIDENT & HEALTH, LIFE
8620494OtherNCLICENSE ACCIDENT & SICKNESS, LIFE, LONG-TERM CARE
8620494OtherSCACCIDENT, HEALTH OR SICKNESS, LIFE

Other names 1

  • Ms. Lynn Buie Brooks Professional name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8620494GAMDProfessional Counselor
A8001NCMDProfessional Counselor
8620494SCMDProfessional Counselor
40918375MNMDCase Manager/Care Coordinator
8620494NCMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Human Resources-Pee Dee Band, LLC Counselor CurrentSince Sep 23, 2024 Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

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, 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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1053600551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SANDYBROOKE DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652923",
            "telephone_number": "404-552-4284",
            "fax_number": "336-886-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SANDYBROOKE DR.",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "404-552-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LYNN",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "MS ED. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8620494",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "8620494",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "40918375",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A8001",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": "8620494",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "8620494",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "40918375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE MARKETPLACE NPN",
            "identifier": "8620494",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCIDENT & HEALTH, LIFE",
            "identifier": "40918375",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE ACCIDENT & SICKNESS, LIFE, LONG-TERM CARE",
            "identifier": "8620494",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCIDENT, HEALTH OR SICKNESS, LIFE",
            "identifier": "8620494",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BROOKS",
            "middle_name": "BUIE",
            "prefix": "MS.",
            "credential": "MS ED D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.