Active NPI
Gabriel M Brooks
- Mental Health Counselor
- Eupora, MS
National Provider Identifier
1295593309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1660 Veterans Memorial Blvd
Eupora, MS 39744-2048 - Phone
- (662) 258-8147
- NPI assigned
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1660 Veterans Memorial Blvd
Eupora, MS 39744-2048
Mailing address
302 N Jackson St
Starkville, MS 39759-2504
Phone (662) 323-3918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700894730 | Other | MS | MENTAL HEALTH COUNSELOR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Seven Mental Health Idd Commission | Mental Health | Current | Accepting new patients |
Locations
1660 Veterans Memorial Blvd
Eupora, MS 39744
Phone (662) 258-8147
302 N Jackson St
Starkville, MS 39759
Phone (662) 323-9261
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eupora, MS
- NPI 1578689337
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1295593309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N JACKSON ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592504",
"telephone_number": "662-323-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 VETERANS MEMORIAL BLVD",
"city": "EUPORA",
"state": "MS",
"postal_code": "397442048",
"telephone_number": "662-258-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "GABRIEL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "1700894730",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eupora, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.