Individual provider Active NPI

Stephanie Marie Brookins, MS, NCC, LPC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1114112513
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004854 Issued in GA
Practice address
4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636
Phone
(706) 322-7911
Fax
(706) 324-2088
NPI assigned
Sep 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004854 GA Primary

Addresses

Primary practice location

4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636

Mailing address

4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636
Phone (706) 322-7911

Other practice location 1

1661 13th St
Suite 102
Columbus, GA 31901-8889
Phone (706) 322-7911

Other identifiers 1

IdentifierTypeStateIssuer
003131338AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031003194 GA Practitioner - Mental Health Counselor 1456884220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4 Bradley Park CT
Suite 1B
Columbus, GA 31904-3636
Phone (706) 322-7911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC004854GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Brookins LPC LLC Professional CurrentSince Jul 25, 2024 Accepting new patients

Locations

1661 13th St
Ste 102
Columbus, GA 31901
Phone (706) 322-7911

4 Bradley Park Ct
Ste 1B
Columbus, GA 31904
Phone (706) 507-5444

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.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1114112513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRADLEY PARK CT STE 1B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043636",
            "telephone_number": "706-322-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRADLEY PARK CT STE 1B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043636",
            "telephone_number": "706-322-7911",
            "fax_number": "706-324-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 13th St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319018889",
            "country_code": "US",
            "telephone_number": "706-322-7911",
            "fax_number": "706-324-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKINS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003131338A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.