Brooke Counseling Services Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BROOKE COUNSELING SERVICES CORP

Practice address

630 Segovia Rd Ofc
St Augustine, FL 32086-6456

Phone

(904) 806-1812

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Jacqueline Dougherty, MS LMHC OSNPI 1992266928

Title

Director

Phone

(904) 806-1812

Specialties & licenses 1

Addresses

Other names 1

• Collective Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Dougherty

  • Mental Health Counselor
  • Saint Augustine, FL
  • NPI 1992266928
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1407656127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320850806",
            "telephone_number": "904-806-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SEGOVIA RD OFC",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866456",
            "telephone_number": "904-806-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE COUNSELING SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-806-1812",
        "authorized_official_credential": "MS LMHC  OS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collective Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Kay Britton-Willette, RN
• Betsy Britton, MA,CCC
• Michele Brockway, MS, OTR/L
• Todd Broder, M.D.
• Brooke Counseling Services
• Brooks Home Care Advantage, Inc
• Natallia Brooks Jones
• Alison Brooks
• Dallas Brooks, RBT
• Dayzha Brooks

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.