NPIMap

Organization Active NPI

The Brook Wellness Center, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Branson West, MO
National Provider Identifier
1467008599
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
THE BROOK WELLNESS CENTER, INC
Practice address
11016 E State Highway 76
Branson West, MO 65737-9775
Phone
(417) 527-8877
NPI assigned
Aug 14, 2019
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Rose Mary Robinson
Title
President
Phone
(417) 527-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

11016 E State Highway 76
Branson West, MO 65737-9775

Mailing address

PO Box 826
Branson, MO 65615-0826
Phone (417) 527-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260612002907 MO Part B Supplier - Clinic/Group Practice 7911479779 Receives reassigned benefits from 1 practitioner
Practice locations: Reeds Spring, MO

National Provider Directory

National Provider Directory

Locations

895 State Highway 248
Ste C
Branson, MO 65616
Phone (417) 335-8466

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1467008599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656150826",
            "telephone_number": "417-527-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 E STATE HIGHWAY 76",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379775",
            "telephone_number": "417-527-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOK WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-10-20",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-527-8877"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson West, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.

Verify at the official NPI Registry.