Brooke Rustman, NCC
Individual provider Active NPI Counselor · Brookings, SD
NPI 1649900796 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1649900796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 601 4TH St Ste 101
Brookings, SD 57006-2065 - Phone
- (605) 494-1500
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Wildflower Play Therapy, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
601 4TH St Ste 101
Brookings, SD 57006-2065
Mailing address
601 4TH St Ste 101
Brookings, SD 57006-2065
Phone (605) 494-1500
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.