Active NPI
Phillip Brooks
- Counselor
- Albuquerque, NM
National Provider Identifier
1265812390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861 - Phone
- (505) 515-9959
- NPI assigned
- Jun 3, 2015
- Last updated
- Jun 3, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861
Mailing address
2834 Solano del Sol Dr NE
Rio Rancho, NM 87144-0574
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1265812390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 SOLANO DEL SOL DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871440574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 WASHINGTON ST NE STE A1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131861",
"telephone_number": "505-515-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "PHILLIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.