Stephanie Lynn Brooke, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2303351 Issued in OH

Practice address

438 Westgate Blvd
Youngstown, OH 44515-3403

Phone

(567) 868-4001

NPI assigned

Jan 11, 2019

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Toledo Counseling & Mental Health LLC

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1174007934
  Medicare reassignment NPD
• A Home 4 Therapy LLC

  • Professional Counselor
  • Canfield, OH
  • NPI 1396519682
  Authorized official Same address or phone
• Maverick Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sylvania, OH
  • NPI 1851190672
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1679046791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4496 MAHONING AVE.",
            "address_2": "#1038",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-967-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 WESTGATE BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153403",
            "telephone_number": "567-868-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303351",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1801109-TRNE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P Brocker, M.D.
• Christopher Matthew Broderick, FNP
• Brodmor Inc
• Robert Edward Broll Jr.
• Brookdale Senior Living Communities Inc (Sterling House of Youngstown)
• Apryl Brooks, PHARMD, MS-PGPM
• Lakkia Brooks
• Samantha Brooks
• Samara Lynn Brown Eldridge
• Adrian Roland Brown II

• Mental Health Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.