Individual provider Active NPI

Brooklyn Michelle Sellers, LPC

  • Professional Counselor
  • Tupelo, MS
National Provider Identifier
1477078558
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2555 Issued in MS
Practice address
302 S Spring St
Tupelo, MS 38804-4822
Phone
(662) 584-5097
Fax
(662) 495-4079
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2555 MS Primary

Addresses

Primary practice location

302 S Spring St
Tupelo, MS 38804-4822

Mailing address

PO Box 68
Tupelo, MS 38802-0068
Phone (662) 584-5097

Other practice location 1

2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone (662) 640-4595

Other identifiers 1

IdentifierTypeStateIssuer
00018203MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507004065 MS Practitioner - Mental Health Counselor 9739657743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heale Counseling LLC 32 clinicians

Practice addresses (Care Compare)

302 S Spring St
Tupelo, MS 38804-4853
Phone (662) 205-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2555MSMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1477078558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020068",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044822",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2434 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046942",
            "country_code": "US",
            "telephone_number": "662-640-4595",
            "fax_number": "662-680-6416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "BROOKLYN",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018203",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.