Individual provider Active NPI

Brooke Malensek, PLPC

  • Professional Counselor
  • Nevada, MO
National Provider Identifier
1265886972
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016007573 Issued in MO
Practice address
100 S Prewitt St
Nevada, MO 64772-1760
Phone
(417) 667-8700
Fax
(417) 667-7454
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2016007573 MO Primary

Addresses

Primary practice location

100 S Prewitt St
Nevada, MO 64772-1760

Mailing address

29114 E Justin Rd
Harwood, MO 64750-9195
Phone (417) 684-1956

Other identifiers 2

IdentifierTypeStateIssuer
1093043481MedicaidMO
1699756239MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20251021002583 MO Practitioner - Mental Health Counselor 9830687094 Reassigns benefits to 1 organization
I20251025000579 OR Practitioner - Mental Health Counselor 9830687094 Reassigns benefits to 1 organization
I20251027004608 WA Practitioner - Mental Health Counselor 9830687094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016007573MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Sep 10, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 1

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1265886972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29114 E JUSTIN RD",
            "city": "HARWOOD",
            "state": "MO",
            "postal_code": "647509195",
            "telephone_number": "417-684-1956",
            "fax_number": "417-667-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PREWITT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721760",
            "telephone_number": "417-667-8700",
            "fax_number": "417-667-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENSEK",
        "first_name": "BROOKE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016007573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093043481",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699756239",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.