NPIMap

Organization Active NPI

Brooke Kayman Fox, Inc.

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1124404447
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149009105 Issued in IL
Legal business name
BROOKE KAYMAN FOX, INC.
Practice address
950 Skokie Blvd
Suite 305
Northbrook, IL 60062-4015
Phone
(847) 363-0582
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Brooke Fox, LCSW
Title
President
Phone
(837) 363-0582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 149009105 IL Primary

Addresses

Primary practice location

950 Skokie Blvd
Suite 305
Northbrook, IL 60062-4015

Mailing address

950 Skokie Blvd
Suite 305
Northbrook, IL 60062-4015
Phone (847) 363-0582

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1124404447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SKOKIE BLVD",
            "address_2": "SUITE 305",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624015",
            "telephone_number": "847-363-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SKOKIE BLVD",
            "address_2": "SUITE 305",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624015",
            "telephone_number": "847-363-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE KAYMAN FOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "837-363-0582",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149009105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.