Active NPI
Jeffrey Brookens, LMFT
- Marriage & Family Therapist
- Marion, IA
National Provider Identifier
1164036091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100533
- Practice address
- 309 7TH Ave Ste 200
Marion, IA 52302-5774 - Phone
- (319) 849-5677
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- No
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.
-
- Marriage & Family Therapist
- Marion, IA
- NPI 1780307215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100533 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Connections Psychotherapy | Marriage & Family Therapist | Current | Accepting new patients |
Locations
309 7th Ave
Marion, IA 52302
Phone (319) 731-0227
309 7th Ave
Ste 200
Marion, IA 52302
Phone (319) 849-5677
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100533 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
309 7TH Ave Ste 200
Marion, IA 52302-5774
Mailing address
309 7TH Ave Ste 200
Marion, IA 52302-5774
Phone (319) 849-5677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2022.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1164036091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 7TH AVE STE 200",
"city": "MARION",
"state": "IA",
"postal_code": "523025774",
"telephone_number": "319-849-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 7TH AVE STE 200",
"city": "MARION",
"state": "IA",
"postal_code": "523025774",
"telephone_number": "319-849-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKENS",
"first_name": "JEFFREY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "100533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.