NPIMap

Organization Active NPI

Joel Brooks Counseling, Inc

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1235428236
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOEL BROOKS COUNSELING, INC
Doing business as
Joel Brooks
Practice address
3500 E Fletcher Ave
Suite 129
Tampa, FL 33613-4708
Phone
(813) 978-3960
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Mr. Joel S Brooks, LCSWNPI 1477627859
Title
Licensed Clinical Social Worker
Phone
(813) 978-3960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3500 E Fletcher Ave
Suite 129
Tampa, FL 33613-4708

Mailing address

6237 Eaglebrook Ave
Tampa, FL 33625-1518
Phone (813) 978-3960

Other identifiers 2

IdentifierTypeStateIssuer
768684600MedicaidFL
1477627859OtherFLTYPE 1 NPI

Other names 1

  • Joel Brooks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110830000408 FL Part B Supplier - Clinic/Group Practice 6608046669 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

3500 E Fletcher Ave
Ste 129
Tampa, FL 33613
Phone (813) 767-6357

3500 E Fletcher Ave
Ste 501
Tampa, FL 33613
Phone (813) 978-3960

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1235428236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 EAGLEBROOK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251518",
            "telephone_number": "813-978-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE",
            "address_2": "SUITE 129",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134708",
            "telephone_number": "813-978-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL BROOKS COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "813-978-3960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768684600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1477627859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joel Brooks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.