Billy Berneard Brooks, L.C.D.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10781 Issued in TX

Practice address

401 W Twohig Ave
San Angelo, TX 76903-6321

Phone

(325) 655-7777

Fax

(325) 659-4316

NPI assigned

Jun 13, 2019

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Alcohol & Drug Abuse Council for the Concho Valley

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Angelo, TX
  • NPI 1093031148
  NPD (past)
• Alcohol and Drug Abuse Council for the Concho Valley

  • Substance Abuse Rehabilitation Facility
  • San Angelo, TX
  • NPI 1053867267
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1790345692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 W HOUSTON HARTE EXPY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769012664",
            "telephone_number": "325-224-3481",
            "fax_number": "325-224-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W TWOHIG AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036321",
            "telephone_number": "325-655-7777",
            "fax_number": "325-659-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3553 W Houston Harte Expy",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769012664",
            "country_code": "US",
            "telephone_number": "325-224-3481 x22",
            "fax_number": "325-224-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BILLY",
        "middle_name": "BERNEARD",
        "credential": "L.C.D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065284402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jae Brimhall, DMD, MS
• Anna Brinkman, M.S., CCC-SLP
• Erin Renae Bristo, M.S., CFY-SLP
• Levi Cole Britting, PT, DPT
• Kristy Brody, CCC-SLP
• Steven W Brooks, DC
• Teresa M Brooks
• Annette L Brown
• Chandra Brown
• Joy Elaine Brown, RN, M.ED., LPC

• Addiction (Substance Use Disorder) Counselor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.