Organization Active NPI

Brooks of Water Counseling

  • Marriage & Family Therapist
  • Brandon, MS
National Provider Identifier
1760762579
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0378 Issued in MS
Legal business name
BROOKS OF WATER COUNSELING
Practice address
1700 W Government St
Suite 207
Brandon, MS 39042-2417
Phone
(601) 706-4021
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Esther T. Anglade, LMFTNPI 1346350485
Title
Clinical Director
Phone
(601) 706-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0378 MS Primary

Addresses

Primary practice location

1700 W Government St
Suite 207
Brandon, MS 39042-2417

Mailing address

1700 W Government St
Suite 207
Brandon, MS 39042-2417
Phone (601) 706-4021

Other identifiers 1

IdentifierTypeStateIssuer
9082699OtherMSAETNA

National Provider Directory

National Provider Directory

Locations

1700 W Government St
Ste 207
Brandon, MS 39042
Phone (601) 706-4021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1760762579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W GOVERNMENT ST",
            "address_2": "SUITE 207",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422417",
            "telephone_number": "601-706-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W GOVERNMENT ST",
            "address_2": "SUITE 207",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422417",
            "telephone_number": "601-706-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS OF WATER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "ANGLADE",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "601-706-4021",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9082699",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.