Leonie Jeannene Brooks, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

03292 Issued in MD

Practice address

20 Crossroads Dr
Suite 104
Owings Mills, MD 21117-5419

Phone

(410) 303-6722

Fax

(410) 363-9262

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760690234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 104",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-303-6722",
            "fax_number": "410-363-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 104",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-303-6722",
            "fax_number": "410-363-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LEONIE",
        "middle_name": "JEANNENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "03292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S2010001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GP72LJ",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bright Spectrum ABA L.L.C
• Kimberly Briscoe, LCMFT
• Lauren Brocke, BCBA
• Debra Gross Brodinsky, MSCCC-SLP
• Brooke Brodsky
• Alexandra Macy Brown
• Andrew Oniel Brown, LCPC
• Beatrice Brown, LGPC
• Bethany Brown, D.O.
• Danice Brown, PH.D

• Counseling Psychologist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Counseling Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.