Active NPI
Brooklyn Elise Cook, CMHC, NCC
- Mental Health Counselor
- Payson, UT
National Provider Identifier
1669855425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11793386-6004
- Practice address
- 296 W 100 S
Payson, UT 84651-2116 - Phone
- (678) 860-0233
- NPI assigned
- Jun 29, 2015
- 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 | 11793386-6004 | UT | Primary |
Addresses
Primary practice location
296 W 100 S
Payson, UT 84651-2116
Mailing address
296 W 100 S
Payson, UT 84651-2116
Phone (678) 860-0233
Other practice location 1
3549 N University Ave Ste 200
Provo, UT 84604-4417
Phone (801) 377-2014
Other practice location 2
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other names 1
- Brooklyn Elise Reber
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11793386-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moonrise Counseling and Wellness | Mental Health | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1669855425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 W 100 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512116",
"telephone_number": "678-860-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 W 100 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512116",
"telephone_number": "678-860-0233"
}
],
"practiceLocations": [
{
"address_1": "3549 N University Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846044417",
"country_code": "US",
"telephone_number": "801-377-2014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 N Freedom Blvd",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846011677",
"country_code": "US",
"telephone_number": "801-373-4760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "BROOKLYN",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "CMHC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11793386-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKLYN",
"last_name": "REBER",
"middle_name": "ELISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.