Brooke Allen, LPC

Individual provider Active NPI Professional Counselor · Madison, WI

NPI 1487166807 · NPPES record last updated Feb 7, 2020

Key facts

NPI
1487166807
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
7671-125 (WI)
Practice address
702 S High Point Rd Ste 209
Madison, WI 53719-4926
Phone
(608) 516-6842
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3668-226WIMDMental Health Counselor
7671-125WIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3668-226 WI
Professional Counselor 101YP2500X 7671-125 WI Yes

Addresses

Primary practice location

702 S High Point Rd Ste 209
Madison, WI 53719-4926

Mailing address

3013 Maple Valley Dr Apt 301
Madison, WI 53719-3191

Other providers in Madison, WI

All providers in Madison, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.