Active NPI
Sara Jade Brooks, LPAT
- Mental Health Counselor
- Louisville, KY
National Provider Identifier
1164096624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 269532
- Practice address
- 2823 Frankfort Ave
Louisville, KY 40206-2639 - Phone
- (502) 893-0241
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 269532 | KY | Primary |
Addresses
Primary practice location
2823 Frankfort Ave
Louisville, KY 40206-2639
Mailing address
2823 Franfort Avenue
Louisville, KY 40206
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sarab@sjkids.org | ||
| Other URL | sarab@sjkids.org |
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 |
|---|---|---|---|
| 269532 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Catholic Orphan'S Society | Past | Accepting new patients | |
| Bluegrass Professional Counseling, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Munfordville, KY
- NPI 1063899789
-
- Adolescent and Children Mental Health Clinic/Center
- Louisville, KY
- NPI 1497156822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1164096624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 FRANFORT AVENUE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRANKFORT AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062639",
"telephone_number": "502-893-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "SARA",
"middle_name": "JADE",
"credential": "LPAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "269532",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sarab@sjkids.org",
"affiliation": "N",
"address_1": "2823 Frankfort Ave",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402062639",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sarab@sjkids.org",
"affiliation": "N",
"address_1": "2823 Frankfort Ave",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402062639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.