Timothy Huston Brooks, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C003548 Issued in NC

Practice address

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829

Phone

(919) 251-9001

Fax

(919) 251-9008

NPI assigned

Jan 10, 2007

Last updated

May 29, 2013By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1013340173
  Authorized official Same address or phone
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1407284524
  Authorized official Same address or phone
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1669858510
  Authorized official Same address or phone
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1679956601
  Authorized official Same address or phone
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1902239130
  Authorized official Same address or phone
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Pittsboro, NC
  • NPI 1992034797
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1710036439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829",
            "telephone_number": "919-251-9001",
            "fax_number": "919-251-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829",
            "telephone_number": "919-251-9001",
            "fax_number": "919-251-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TIMOTHY",
        "middle_name": "HUSTON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C003548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003441",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kee'Shon Aliyah Brooks, LCSWA
• Kelli Rachel Brooks, MD
• Synquincity Kurin Brooks, DMSC, PA-C
• Tameka Kinyardia Brooks, LCSW
• Theodore Hamlin Brooks, DDS
• Lauren Brookshire, MSW
• Victoria Mary-Kate Brookshire
• Audrey Broome
• Taylor M Broome, MD
• Alisha B. Brosse, PH.D

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.