Active NPI
Brooke K Watts, BA
- Marriage & Family Therapist
- Rochester, MN
National Provider Identifier
1376114629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 401 16TH St SE Ste 100
Rochester, MN 55904-7974 - Phone
- (507) 516-0030
- Fax
- (507) 516-0030
- NPI assigned
- Jul 8, 2021
- Last updated
- Jun 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
401 16TH St SE Ste 100
Rochester, MN 55904-7974
Mailing address
401 16TH St SE Ste 100
Rochester, MN 55904-7974
Phone (507) 516-0030
Other names 1
- Brooke K Carr
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Marriage & Family Therapist | Current | Accepting new patients |
| Family Support Services Inc. | Mental Health | Past | Accepting new patients |
Locations
401 16th St SE
Ste 100
Rochester, MN 55904
Phone (507) 516-0030
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sagent Behavioral Health
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
Marriage & Family Therapist
-
dba Sagent Behavioral Health
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1376114629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 16TH ST SE STE 100",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559047974",
"telephone_number": "507-516-0030",
"fax_number": "507-516-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 16TH ST SE STE 100",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559047974",
"telephone_number": "507-516-0030",
"fax_number": "507-516-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "BROOKE",
"middle_name": "K",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2023-06-19",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "CARR",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.