Active NPI
Brooks Thomas Johnson, LMHC
- Mental Health Counselor
- Tallahassee, FL
National Provider Identifier
1265701668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 9403
- Practice address
- 1310 Cross Creek Cir
Suite a
Tallahassee, FL 32301-8062 - Phone
- (850) 294-0695
- Fax
- (888) 700-6760
- NPI assigned
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | MH 9403 | FL | Primary |
Addresses
Primary practice location
1310 Cross Creek Cir
Suite a
Tallahassee, FL 32301-8062
Mailing address
PO Box 1637
Venice, FL 34284-1637
Phone (850) 877-4228
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 |
|---|---|---|---|
| MH 9403 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1265701668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1637",
"city": "VENICE",
"state": "FL",
"postal_code": "342841637",
"telephone_number": "850-877-4228",
"fax_number": "888-700-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 CROSS CREEK CIR",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323018062",
"telephone_number": "850-294-0695",
"fax_number": "888-700-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BROOKS",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 9403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.