Active NPI
Amanda Noelle Brooks, LPCC
- Mental Health Counselor
- Somerset, KY
National Provider Identifier
1578309381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 293263
- Practice address
- 600 Clifty St Ste 2
Somerset, KY 42503-1710 - Phone
- (606) 678-0026
- NPI assigned
- Jul 2, 2024
- Last updated
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 293263 | KY | Primary |
Addresses
Primary practice location
600 Clifty St Ste 2
Somerset, KY 42503-1710
Mailing address
600 Clifty St Ste 2
Somerset, KY 42503-1710
Phone (606) 678-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293263 | KY | MD | Mental Health Counselor |
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, 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": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1578309381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CLIFTY ST STE 2",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031710",
"telephone_number": "606-678-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CLIFTY ST STE 2",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031710",
"telephone_number": "606-678-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "AMANDA",
"middle_name": "NOELLE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "293263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.