Jessica Rae Brooks, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22385 Issued in FL

Practice address

3321 Del Prado Blvd S Ste 12
Cape Coral, FL 33904-7263

Phone

(941) 876-8033

Fax

(239) 439-7822

NPI assigned

Jul 3, 2021

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: communitybehavioralhealth.jessicabrooks@142665.advancedmd-direct.com

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.

• Untamed Therapy and Consulting

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1720811557
  Medicare reassignment NPD Authorized official
• Florida Behavioral Center, Inc

  dba Florida Healthcare System

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1912334863

  Mental Health

  NPD

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1154992873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 SW 30TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339148215",
            "telephone_number": "239-404-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S STE 12",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "941-876-8033",
            "fax_number": "239-439-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113878700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lazaro Jesus Broche Ferrales
• Melany Broche Ferrales
• Brookdale Senior Living Communities, Inc. (Brookdale Cape Coral)
• Brookdale Senior Living Communities, Inc. (Brookdale Santa Barbara)
• Mahogany Brookins
• Lori Brooks, LMHC
• Brown and Bloom Counseling
• Amber Brown
• David Brown Jr., MSW
• Jamie A Brown II, MD

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.