Individual provider Active NPI

Barry G Brooks, PHD, LCPC

  • Professional Counselor
  • Nampa, ID
National Provider Identifier
1184612418
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC29 Issued in ID
Practice address
1016 W Sanetta St
Nampa, ID 83651-5047
Phone
(208) 615-1313
Fax
(208) 960-1775
NPI assigned
Oct 11, 2005
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC29 ID Primary

Addresses

Primary practice location

1016 W Sanetta St
Nampa, ID 83651-5047

Mailing address

1800 N Midland Blvd
Nampa, ID 83651-1747
Phone (208) 615-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240515002380 ID Practitioner - Mental Health Counselor 3173964673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 N Midland Blvd
Nampa, ID 83651-1747
Phone (208) 615-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCPC29IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Way Through LLC Professional CurrentSince Apr 24, 2024 Accepting new patients
A Way Through Counseling Center Past Accepting new patients
A Way Through Counseling Center Inc Past Accepting new patients

Locations

1016 W Sanetta St
Nampa, ID 83651
Phone (206) 369-9297

1800 N Midland Blvd
Nampa, ID 83651
Phone (208) 615-1313

Organizations & group practices 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1184612418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511747",
            "telephone_number": "208-615-1313",
            "fax_number": "208-960-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W SANETTA ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515047",
            "telephone_number": "208-615-1313",
            "fax_number": "208-960-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BARRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.