Individual provider Active NPI

Laura K Brooks, L.P.C.

  • Professional Counselor
  • Ballwin, MO
National Provider Identifier
1760625693
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2007025815 Issued in MO
Practice address
14615 Manchester Rd
Suite 204
Ballwin, MO 63011-3790
Phone
(314) 312-2622
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.004232 IL
Professional Counselor 101YP2500X 2007025815 MO Primary

Addresses

Primary practice location

14615 Manchester Rd
Suite 204
Ballwin, MO 63011-3790

Mailing address

6273 Vista View Dr
House Springs, MO 63051-4339
Phone (314) 312-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.004232ILMDProfessional Counselor
2007025815MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1760625693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6273 VISTA VIEW DR",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630514339",
            "telephone_number": "314-312-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 MANCHESTER RD",
            "address_2": "SUITE 204",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113790",
            "telephone_number": "314-312-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.004232",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007025815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.