Active NPI
Lynn B. Brooks, MS ED. D.
- Professional Counselor
- High Point, NC
National Provider Identifier
1053600551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A8001
- Practice address
- 460 Sandybrooke Dr.
High Point, NC 27265 - Phone
- (404) 552-4284
- NPI assigned
- Apr 5, 2011
- Last updated
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8620494 | Other | GA | HEALTHCARE MARKETPLACE NPN |
| 40918375 | Other | MN | ACCIDENT & HEALTH, LIFE |
| 8620494 | Other | NC | LICENSE ACCIDENT & SICKNESS, LIFE, LONG-TERM CARE |
| 8620494 | Other | SC | ACCIDENT, HEALTH OR SICKNESS, LIFE |
Other names 1
- Ms. Lynn Buie Brooks
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8620494 | GA | MD | Professional Counselor |
| A8001 | NC | MD | Professional Counselor |
| 8620494 | SC | MD | Professional Counselor |
| 40918375 | MN | MD | Case Manager/Care Coordinator |
| 8620494 | NC | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Human Resources-Pee Dee Band, LLC | Counselor | Current | 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.
-
- Case Management Agency
- High Point, NC
- NPI 1396048542
Counselor
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.