Individual provider Active NPI

Brooke Childs-Brammer

  • Professional Counselor
  • Brandon, FL
National Provider Identifier
1710718853
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone
(813) 444-8760
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

130 E Bloomingdale Ave
Brandon, FL 33511-8101

Mailing address

130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (813) 444-8760

Other practice location 1

500 Vonderburg Dr Ste 306
Brandon, FL 33511-5976
Phone (813) 444-8760

Other practice location 2

1802 N Armenia Ave
Tampa, FL 33607-3406
Phone (813) 444-8760

Other practice location 3

5245 Office Park Blvd
Bradenton, FL 34203-3444
Phone (813) 444-8760

Other practice location 4

5245 Office Park Blvd
Bradenton, FL 34203-3444
Phone (813) 444-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20260114000342 FL Practitioner - Mental Health Counselor 1355827932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Monica Lake, PLLCGroup PAC ID 7113357286, 5 clinicians

Practice addresses (Care Compare)

130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (813) 444-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Monica Lake, PLLC CurrentSince Oct 31, 2025 Accepting new patients
Dr. Lake and Associates PastSince Oct 31, 2025 Accepting new patients

Locations

130 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 444-8760

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1710718853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Vonderburg Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115976",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336073406",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 Office Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342033444",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 Office Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342033444",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS-BRAMMER",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.