Carl David Brooks, LPCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0198 Issued in KY

Practice address

2530 Scottsville Rd
Suite 23
Bowling Green, KY 42104-6310

Phone

(270) 393-0074

Fax

(270) 393-0067

NPI assigned

Dec 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1447495353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD",
            "address_2": "SUITE 23",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046310",
            "telephone_number": "270-393-0074",
            "fax_number": "270-393-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD",
            "address_2": "SUITE 23",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046310",
            "telephone_number": "270-393-0074",
            "fax_number": "270-393-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CARL",
        "middle_name": "DAVID",
        "credential": "LPCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0198",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY IMPACT PLUS",
            "identifier": "29100302",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Beth Brigl, RN
• Tyler Travis Brimmer, MABA, BCBA, LBA
• Jeffery Broadbent Jr., LCSW
• Andrea Jo Brooks, MD
• Burton Carl Brooks, M.D.
• Hannah Katherine Brooks
• Kamala Mechelle Brooks, NP
• Samantha Joanne Brooks, CSA
• Sarah Brooks, CSW
• Sarah Brooks, OTR/L

• Professional Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.