Nicola Brooks, LPC – Professional Counselor

Key facts

NPI: 1073708137
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: PC007127 (PA)
Practice address: 4069 Lasher Rd
Drexel Hill, PA 19026-5127
Phone: (484) 266-9139
NPI assigned: Sep 12, 2007
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Amani NA Wellness Professional Counselor · Drexel Hill, PA · NPI 1699432450

NPD Authorized official PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PC007127	PA	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Amani NA Wellness	Professional	Current since Dec 5, 2021	Accepting new patients

Locations

45 E City Line Ave
Bala Cynwyd, PA 19004
Phone (484) 278-1998

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	PC007127	PA	Yes

Addresses

Primary practice location

4069 Lasher Rd
Drexel Hill, PA 19026-5127

Mailing address

4069 Lasher Rd
Drexel Hill, PA 19026-5127
Phone (484) 266-9139

Other providers in Drexel Hill, PA

All providers in Drexel Hill, PA · Professional Counselor in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.