Keeshawna Brooks, PHD, NCSP, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

06199 Issued in MD

Practice address

325 N Wells St Ofc 523
Chicago, IL 60654-7024

Phone

(773) 559-1717

NPI assigned

Oct 20, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Keys to Care Psychological Services, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1932734548

  Health Service

  NPD Authorized official

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571529600000",
    "number": "1619510914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOREST PL APT P25",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011113",
            "telephone_number": "773-559-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N WELLS ST OFC 523",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547024",
            "telephone_number": "773-559-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KEESHAWNA",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2019-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2399934",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Brooks, LCSW
• Jerry Brooks, D.D.S.
• Joshua Michael Brooks
• Juanakya Brooks
• Julia Brooks
• Kenneth E. Brooks II, D.D.S
• Keshia T Brooks
• Madalen Brooks, DACM, L.AC
• Margaret Brooks, LCSW
• Margo Brooks, LCPC

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.