Active NPI
Judith Wherritt Brooks, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1760671978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0108391
- Practice address
- 1325 Wyoming Blvd NE
Albuquerque, NM 87112-5046 - Phone
- (505) 291-5300
- Fax
- (505) 291-2967
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0108391 | NM | Primary |
Addresses
Primary practice location
1325 Wyoming Blvd NE
Albuquerque, NM 87112-5046
Mailing address
1325 Wyoming Blvd NE
Albuquerque, NM 87112-5046
Phone (505) 291-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00046300 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0108391 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1760671978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125046",
"telephone_number": "505-291-5300",
"fax_number": "505-291-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125046",
"telephone_number": "505-291-5300",
"fax_number": "505-291-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JUDITH",
"middle_name": "WHERRITT",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0108391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00046300",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.