Individual provider Active NPI

Brooke Zebro, LPC

  • Professional Counselor
  • Willmar, MN
National Provider Identifier
1558923169
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
02261 Issued in MN
Practice address
201 28TH Ave SW
Willmar, MN 56201-5241
Phone
(320) 214-8558
Fax
(320) 235-2733
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 02261 MN Primary

Addresses

Primary practice location

201 28TH Ave SW
Willmar, MN 56201-5241

Mailing address

PO Box 823
Willmar, MN 56201-0823
Phone (320) 214-8558

Other identifiers 1

IdentifierTypeStateIssuer
02261OtherMNSTATE OF MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY

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

LicenseStateTypeSpecialty
02261MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Centers, Inc. PastSince Aug 1, 2009 Accepting new patients
Nystrom & Associates, LTD PastSince Jul 18, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1558923169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562010823",
            "telephone_number": "320-214-8558",
            "fax_number": "320-235-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 28TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015241",
            "telephone_number": "320-214-8558",
            "fax_number": "320-235-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBRO",
        "first_name": "BROOKE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY",
            "identifier": "02261",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.