Individual provider Active NPI

Leann Marie Brakke, LPC, MS, NBCC

  • Professional Counselor
  • Vestavia Hills, AL
National Provider Identifier
1770656118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
518 Issued in AL
Practice address
1025 Montgomery Hwy
Suite 203
Vestavia Hills, AL 35216-2805
Phone
(205) 979-0699
Fax
(205) 979-0699
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 518 AL Primary

Addresses

Primary practice location

1025 Montgomery Hwy
Suite 203
Vestavia Hills, AL 35216-2805

Mailing address

2310 Tanglewood Dr
Vestavia Hills, AL 35216-2426
Phone (205) 979-0699

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
518ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brakke-Hoehle ENT. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770656118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 TANGLEWOOD DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162426",
            "telephone_number": "205-979-0699",
            "fax_number": "205-979-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY",
            "address_2": "SUITE 203",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-979-0699",
            "fax_number": "205-979-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKKE",
        "first_name": "LEANN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC, MS, NBCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • 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.