Monica S. Brooker, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 1780 Issued in KS

Practice address

2365 W Central Ave
El Dorado, KS 67042-3208

Phone

(316) 321-6036

Fax

(316) 321-6336

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soma Recovery LLCGroup PAC ID 7810387339, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Soma Recovery LLC

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1750850723
  Medicare reassignment Care Compare group NPD
• South Central Mental Health Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • El Dorado, KS
  • NPI 1891561858
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1689632002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423208",
            "telephone_number": "316-321-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423208",
            "telephone_number": "316-321-6036",
            "fax_number": "316-321-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKER",
        "first_name": "MONICA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP 1780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER",
            "identifier": "070784",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSORTIUM PROVIDER",
            "identifier": "826-3468",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bohannon Chiropractic Clinic Inc
• Carl Douglas Bohannon, DC
• Ravyn Bonomini
• Brenda Schewe, P.a.
• L. Diane Briggs, AAPS
• Lyndsey Brouhard, PHARMD
• Jared Edwin Brown, ATC
• Jodi Brown, LMSW
• Lori Brown, LMSW
• Jason H Burk, CRNA, FNP-C, PMHNP

• Clinical Psychologist in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.