Gage Brookman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2023033771 Issued in MO

Practice address

1203 S 7 Hwy
Blue Springs, MO 64014-3539

Phone

(816) 308-0246

Fax

(816) 566-0486

NPI assigned

Sep 22, 2021

Last updated

Dec 8, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Country Crossroads Counseling LLCGroup PAC ID 1153850961, 15 clinicians

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.

• Country Crossroads Counseling LLC

  • Counselor
  • Kingsville, MO
  • NPI 1952705444
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1710658612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW W HWY",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640619117",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143539",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Rich Hill",
            "state": "MO",
            "postal_code": "647792042",
            "country_code": "US",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKMAN",
        "first_name": "GAGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023033771",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Garde Breau, D.C.
• Britt Dental LLC (Preferred Dentistry)
• Cynthia A Britt, MS CCC SLP
• Shira Brock, DPT
• Karen Brooke
• Rachel Brown, NP
• Naomi E Brunner, MS, CCC-SLP
• Bryan Watanabe DDS, White Oaks Dental Group, PC
• Emily Ann Bryan, MD
• Megan Marie Buckley

• Professional Counselor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Professional Counselor in Missouri

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