Active NPI
Kelekia Michelle Brooks
- Case Manager/Care Coordinator
- Greenwell Springs, LA
National Provider Identifier
1629634498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739 - Phone
- (225) 261-7143
- NPI assigned
- May 16, 2019
- Last updated
- Jul 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739
Mailing address
6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112
Other practice location 1
6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739
Phone (225) 261-7143
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1629634498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6685 SULLIVAN RD STE B",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "707393112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6685 SULLIVAN RD STE B",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "70739",
"telephone_number": "225-261-7143"
}
],
"practiceLocations": [
{
"address_1": "6685 Sullivan Rd Ste B",
"address_purpose": "LOCATION",
"city": "Greenwell Springs",
"state": "LA",
"postal_code": "70739",
"country_code": "US",
"telephone_number": "225-261-7143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "KELEKIA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwell Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.