Active NPI
Brooke Blythe Kerbel, MA, LPC
- Mental Health Counselor
- Saint Louis, MO
National Provider Identifier
1215577382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2019047962
- Practice address
- 12810 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2913 - Phone
- (314) 650-9537
- NPI assigned
- Jan 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019047962 | MO | |
| Mental Health Counselor | 101YM0800X | 2019047962 | MO | Primary |
Addresses
Primary practice location
12810 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2913
Mailing address
144 Sigsbee Ave
Saint Louis, MO 63125-3711
Phone (636) 432-3081
Other names 1
- Brooke Blythe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13975 Manchester Rd
Suite 3
Ballwin, MO 63011-4500
Phone (314) 329-4326
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Arms Wellness LLC | Mental Health | Current | Accepting new patients |
| Open Arms Mental Health Therapy LLC | Mental Health | Current | Accepting new patients |
Locations
13975 Manchester Rd
Ste 3
Ballwin, MO 63011
Phone (314) 329-4326
8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326
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.
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1033710751
-
- Mental Health Counselor
- Brentwood, MO
- NPI 1134999287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1215577382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 SIGSBEE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631253711",
"telephone_number": "636-432-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12810 TESSON FERRY RD STE 103",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282913",
"telephone_number": "314-650-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERBEL",
"first_name": "BROOKE",
"middle_name": "BLYTHE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2019047962",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2019047962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "BLYTHE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.