Active NPI
Julie Brooks, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Georgetown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3018760
- Practice address
- 105 Windsor Path Ste 5
Georgetown, KY 40324-9819 - Phone
- (859) 214-7440
- NPI assigned
- Dec 22, 2022
- Last updated
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3018760 | KY | Primary |
| Psychiatry Physician | 2084P0800X | 3018760 | KY |
Addresses
Primary practice location
105 Windsor Path Ste 5
Georgetown, KY 40324-9819
Mailing address
105 Windsor Path Ste 5
Georgetown, KY 40324-9819
Phone (859) 214-7440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | julie.brooks@lifestance.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Windsor Path
Suite 5
Georgetown, KY 40324-9819
Phone (216) 468-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Psychiatry | Current | Accepting new patients |
Locations
105 Windsor Path
Ste 5
Georgetown, KY 40324
Phone (502) 370-4240
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 552-5068
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
Interoperability endpoints
- julie.brooks@lifestance.com
- lifestancehealth.juliebrooks@140103.advancedmd-direct.com
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.
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1104538081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WINDSOR PATH STE 5",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249819",
"telephone_number": "859-214-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WINDSOR PATH STE 5",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249819",
"telephone_number": "859-214-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JULIE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-22",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3018760",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "3018760",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "julie.brooks@lifestance.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "105 Windsor Path Ste 5",
"city": "Georgetown",
"state": "KY",
"country_code": "US",
"postal_code": "403249819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.