Jeanne D Brooks, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004497 Issued in VA

Practice address

2811 Linkhorne Dr Ste D
Lynchburg, VA 24503-3353

Phone

(434) 582-9061

Fax

(434) 616-3115

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sitting Well at the Well IncGroup PAC ID 6709374325, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sitting Well at the Well Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynchburg, VA
  • NPI 1801526991
  Medicare reassignment Care Compare group NPD Authorized official
• Samaritan Counseling Center of East TX, Inc

  • Mental Health Counselor
  • Nacogdoches, TX
  • NPI 1841392727
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1558475707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LINKHORNE DR STE D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245033353",
            "telephone_number": "434-582-9061",
            "fax_number": "434-616-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LINKHORNE DR STE D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245033353",
            "telephone_number": "434-582-9061",
            "fax_number": "434-616-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 North St",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759614479",
            "country_code": "US",
            "telephone_number": "936-564-4064",
            "fax_number": "936-564-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JEANNE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5153",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13557",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Brizendine
• Hadley Brockbank
• Emily Nicole Bromer, M.S.CCC-SLP
• Colin James Brooker, DPT
• Annette Rivera Brooks
• Laura M Brooks, MD
• Regan Brooks
• Todd W. Brooks
• Jessica Brothers
• Jacob Brower

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.