Individual provider Active NPI

Brooke Blythe Kerbel, MA, LPC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1215577382
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2019047962 Issued in MO
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

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001941 MO Practitioner - Mental Health Counselor 4587015961 Reassigns benefits to 1 organization

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
Open Arms Wellness LLCGroup PAC ID 5799170486, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
Open Arms Wellness LLC Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Open Arms Mental Health Therapy LLC Mental Health CurrentSince Aug 5, 2024 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.

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

Verify at the official NPI Registry.