Active NPI
Kathryn Brooks, MA, LPC ASSOCIATE
- Counselor
- Arlington, TX
National Provider Identifier
1295501609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 93516
- Practice address
- 2350 SW Green Oaks Blvd
Arlington, TX 76017-3708 - Phone
- (817) 704-6991
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- 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 | 93516 | TX | Primary |
Addresses
Primary practice location
2350 SW Green Oaks Blvd
Arlington, TX 76017-3708
Mailing address
109 Willow Creek Cir
Mansfield, TX 76063-4920
Phone (817) 939-0877
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93516 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Creek Counseling Center | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Arlington, TX
- NPI 1932346723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1295501609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WILLOW CREEK CIR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634920",
"telephone_number": "817-939-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 SW GREEN OAKS BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760173708",
"telephone_number": "817-704-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "KATHRYN",
"credential": "MA, LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "93516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.