Active NPI
Anitra Rochelle Brooks, LPC
- Professional Counselor
- Carrollton, GA
National Provider Identifier
1144896010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 95903
- Practice address
- 325 Lucy LN
Carrollton, GA 30117-8506 - Phone
- (404) 993-7123
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011798 | GA | |
| Professional Counselor | 101YP2500X | 95903 | TX | Primary |
Addresses
Primary practice location
325 Lucy LN
Carrollton, GA 30117-8506
Mailing address
325 Lucy LN
Carrollton, GA 30117-8506
Phone (404) 993-7123
Other practice location 1
19500 St Hwy 249 Ste 120
Houston, TX 77070-3027
Phone (844) 824-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011798 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1144896010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 LUCY LN",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301178506",
"telephone_number": "404-993-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 LUCY LN",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301178506",
"telephone_number": "404-993-7123"
}
],
"practiceLocations": [
{
"address_1": "19500 St Hwy 249 Ste 120",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770703027",
"country_code": "US",
"telephone_number": "844-824-8775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "ANITRA",
"middle_name": "ROCHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011798",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "95903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.