Active NPI
Brooke Williams Mental Health Counseling PC
- Community/Behavioral Health Agency
- Massapequa, NY
National Provider Identifier
1376201889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BROOKE WILLIAMS MENTAL HEALTH COUNSELING PC
- Practice address
- 321 Forest Ave
Massapequa, NY 11758-5746 - Phone
- (516) 900-7084
- NPI assigned
- Dec 1, 2021
- 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
- Mrs. Brooke Williams, LMHC
- Title
- Owner
- Phone
- (631) 902-4626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
321 Forest Ave
Massapequa, NY 11758-5746
Mailing address
321 Forest Ave
Massapequa, NY 11758-5746
Phone (631) 902-4626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Massapequa, NY
- NPI 1972058014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638316800000",
"number": "1376201889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 FOREST AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585746",
"telephone_number": "631-902-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 FOREST AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585746",
"telephone_number": "516-900-7084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKE WILLIAMS MENTAL HEALTH COUNSELING PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-902-4626",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.