Active NPI
Brooke Nichols, LCPC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1487868477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2006000743
- Practice address
- 10336 Rosehill Rd
Overland Park, KS 66215-2290 - Phone
- (913) 593-8989
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 341 | KS | |
| Professional Counselor | 101YP2500X | 2006000743 | MO | Primary |
Addresses
Primary practice location
10336 Rosehill Rd
Overland Park, KS 66215-2290
Mailing address
10336 Rosehill Rd
Overland Park, KS 66215-2290
Phone (913) 593-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487868477 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006000743 | MO | MD | Professional Counselor |
| 341 | KS | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1487868477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10336 ROSEHILL RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152290",
"telephone_number": "913-593-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10336 ROSEHILL RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152290",
"telephone_number": "913-593-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "BROOKE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "341",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2006000743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487868477",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.