Individual provider Active NPI

Brooke Andria Taylor

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1528531167
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1528531167 Issued in NM
Practice address
1206 W South Jordan Pkwy Ste C
South Jordan, UT 84095-5511
Phone
(801) 432-0778
NPI assigned
Jan 7, 2019
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1528531167 NM Primary
Clinical Social Worker 1041C0700X 13986947-3501 UT

Addresses

Primary practice location

1206 W South Jordan Pkwy Ste C
South Jordan, UT 84095-5511

Mailing address

2420 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone (505) 317-3792

Other practice location 1

2420 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone (505) 317-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20260602004375 NM Practitioner - Clinical Social Worker 0446721260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wise Mind CounselingGroup PAC ID 5193153526, 8 clinicians

Practice addresses (Care Compare)

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone (505) 317-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1528531167NMMDClinical Social Worker
13986947-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling CurrentSince May 21, 2026 Accepting new patients
Joyful Living Counseling PLLC Clinical PastSince Apr 27, 2025 Accepting new patients

Locations

2420 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 292-2237

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 317-3792

8214 2nd St NW
Ste C
Albuquerque, NM 87114
Phone (505) 317-3792

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1528531167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121818",
            "telephone_number": "505-317-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955511",
            "telephone_number": "801-432-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Juan Tabo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871121818",
            "country_code": "US",
            "telephone_number": "505-317-3792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BROOKE",
        "middle_name": "ANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "1528531167",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13986947-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.