Active NPI
Brooke Spradlin, MS, LPC
- Professional Counselor
- Farmington, MO
National Provider Identifier
1447603477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015039157
- Practice address
- 114 E Columbia St
Farmington, MO 63640-3103 - Phone
- (573) 979-3676
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2015039157 | MO | |
| Professional Counselor | 101YP2500X | 2015039157 | MO | Primary |
Addresses
Primary practice location
114 E Columbia St
Farmington, MO 63640-3103
Mailing address
114 E Columbia St Ste B11
Farmington, MO 63640-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 9, 2026 through Jun 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015039157 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1447603477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E COLUMBIA ST STE B11",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E COLUMBIA ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403103",
"telephone_number": "573-979-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRADLIN",
"first_name": "BROOKE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2015039157",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015039157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
- Southeast Missouri Behavioral Health
- Southeast Missouri Behavioral Health Inc
- Southeast Missouri Dermatology, PC
- Lori Sparks, RN
- Perrin Spears, DNP, FNP-C
- Hungi P Sripal, M.D.
- Piyush Srivastava, MD
- St. Francois County Ambulance District
- St. Francois County Ambulance District
- St. Francois County Board for the Developmentally Disabled
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.