Active NPI
Theresa Brooks, LPC
- Professional Counselor
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-23112
- Practice address
- 6151-6153 W Olive Ave
Glendale, AZ 85302-4598 - Phone
- (602) 685-6000
- Fax
- (602) 389-3599
- NPI assigned
- Dec 6, 2024
- 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 | LPC-23112 | AZ | Primary |
Addresses
Primary practice location
6151-6153 W Olive Ave
Glendale, AZ 85302-4598
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 W Thunderbird Rd
Suite 115
Peoria, AZ 85381-4451
Phone (888) 374-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Professional | Current | Accepting new patients |
Locations
1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020
9000 W Thunderbird Rd
Ste 115
Peoria, AZ 85381
Phone (623) 253-1226
Interoperability endpoints
- theresa.brooksbht.p1@direct.terros.nextgenshare.com
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": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1790591543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122929",
"telephone_number": "602-685-6000",
"fax_number": "602-302-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151-6153 W OLIVE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024598",
"telephone_number": "602-685-6000",
"fax_number": "602-389-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "THERESA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-23112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.