Individual provider Active NPI

Brooke McMaken, LMHC

  • Mental Health Counselor
  • Panama City Beach, FL
National Provider Identifier
1508223553
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14001 Issued in FL
Practice address
415 N Richard Jackson Blvd Ste 206B
Panama City Beach, FL 32407-3694
Phone
(303) 618-5614
Fax
(850) 248-2469
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14001 FL Primary

Addresses

Primary practice location

415 N Richard Jackson Blvd Ste 206B
Panama City Beach, FL 32407-3694

Mailing address

128 Bid a Wee LN
Panama City Beach, FL 32413-2761
Phone (303) 618-5614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240715004365 FL Practitioner - Mental Health Counselor 2961844741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 N Richard Jackson Blvd
Suite 206B
Panama City Beach, FL 32407-3694
Phone (303) 518-5614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McMaken Counseling and Support Services Mental Health CurrentSince Feb 26, 2024 Accepting new patients

Locations

415 N Richard Jackson Blvd
Ste 206B
Panama City Beach, FL 32407
Phone (303) 518-5614

12133 Panama City Beach Pkwy
Ste D
Panama City Beach, FL 32407

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1508223553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BID A WEE LN",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132761",
            "telephone_number": "303-618-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 206B",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694",
            "telephone_number": "303-618-5614",
            "fax_number": "850-248-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAKEN",
        "first_name": "BROOKE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.