Active NPI
Brook Lane Behavioral Services, Inc.
- Professional Counselor
- Cumberland, MD
National Provider Identifier
1346925484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BROOK LANE BEHAVIORAL SERVICES, INC.
- Practice address
- 1050 W Industrial Blvd
Cumberland, MD 21502-4331 - Phone
- (301) 733-0330
- NPI assigned
- Jun 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Repac
- Title
- Cfo
- Phone
- (301) 790-9351
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1050 W Industrial Blvd
Cumberland, MD 21502-4331
Mailing address
13121 Brooklane Dr
Hagerstown, MD 21742-1514
Phone (301) 733-0331
Other names 1
- Brook Lane Cumberland
National Provider Directory
National Provider Directory- Tax ID family
- Brook Lane Behavior SVCS
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hagerstown, MD
- NPI 1003304106
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frederick, MD
- NPI 1063721512
-
- Psychiatric Hospital
- Hagerstown, MD
- NPI 1144703109
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hagerstown, MD
- NPI 1417928151
-
- Psychiatry Physician
- Hagerstown, MD
- NPI 1538647748
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Frederick, MD
- NPI 1538657630
-
- Psychiatric Hospital
- Frederick, MD
- NPI 1558648410
-
- School Counselor
- Frederick, MD
- NPI 1871983320
-
- Psychiatric Hospital Unit
- Hagerstown, MD
- NPI 1962985929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1346925484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13121 BROOKLANE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421514",
"telephone_number": "301-733-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W INDUSTRIAL BLVD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024331",
"telephone_number": "301-733-0330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOK LANE BEHAVIORAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-16",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "REPAC",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-790-9351"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brook Lane Cumberland",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.