Active NPI
Brooke Manley
- Professional Counselor
- Berlin, MD
National Provider Identifier
1669883880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5680
- Practice address
- 124 N Main St Ste C
Berlin, MD 21811-1062 - Phone
- (410) 641-4598
- Fax
- (410) 641-4696
- NPI assigned
- May 9, 2014
- Last updated
- May 9, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5680 | MD | Primary |
Addresses
Primary practice location
124 N Main St Ste C
Berlin, MD 21811-1062
Mailing address
124 N Main St Ste C
Berlin, MD 21811-1062
Phone (410) 641-4598
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 |
|---|---|---|---|
| 5680 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal Wellness LLC | Professional | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Berlin, MD
- NPI 1518857689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1669883880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N MAIN ST STE C",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111062",
"telephone_number": "410-641-4598",
"fax_number": "410-641-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N MAIN ST STE C",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111062",
"telephone_number": "410-641-4598",
"fax_number": "410-641-4696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "5680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.