Individual provider Active NPI

Lachandra Monet Brooks-Prim, LPC

  • Counselor
  • Montgomery, AL
National Provider Identifier
1144795139
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4227 Issued in AL
Practice address
6212 Tennyson Dr
Montgomery, AL 36116-4335
Phone
(334) 220-5889
NPI assigned
Oct 5, 2018
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4227 AL Primary

Addresses

Primary practice location

6212 Tennyson Dr
Montgomery, AL 36116-4335

Mailing address

6212 Tennyson Dr
Montgomery, AL 36116-4335
Phone (334) 220-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250702003475 AL Practitioner - Mental Health Counselor 8224400346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7358 US Hwy 231
Wetumpka, AL 36092-2053
Phone (334) 245-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4227ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Counseling and Consultation Services, LLC CurrentSince Feb 11, 2020 Accepting new patients
Ethos Counseling LLC CurrentSince Jun 7, 2025 Accepting new patients

Locations

7358 US Highway 231
Wetumpka, AL 36092
Phone (334) 245-4080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1144795139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 TENNYSON DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164335",
            "telephone_number": "334-220-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 TENNYSON DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164335",
            "telephone_number": "334-220-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-PRIM",
        "first_name": "LACHANDRA",
        "middle_name": "MONET",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.