Individual provider Active NPI

Brooke M Dey, MA, LPC

  • Counselor
  • Green Bay, WI
National Provider Identifier
1346491727
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5388-125 Issued in WI
Practice address
2301 Riverside Dr Ste B11
Green Bay, WI 54301-1957
Phone
(920) 544-6818
Fax
(920) 212-4997
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5388-125 WI
Counselor 101Y00000X 5388-125 WI Primary

Addresses

Primary practice location

2301 Riverside Dr Ste B11
Green Bay, WI 54301-1957

Mailing address

2417 Manitowoc Rd
Green Bay, WI 54311-5323
Phone (920) 544-6818

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

LicenseStateTypeSpecialty
5388-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dey Counseling Service LLC Counselor CurrentSince Feb 24, 2022 Accepting new patients

Locations

2301 Riverside Dr
Ste B11
Green Bay, WI 54301
Phone (920) 544-6818

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1346491727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 MANITOWOC RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115323",
            "telephone_number": "920-544-6818",
            "fax_number": "920-212-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RIVERSIDE DR STE B11",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011957",
            "telephone_number": "920-544-6818",
            "fax_number": "920-212-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "BROOKE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5388-125",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5388-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.