Active NPI
Harry Miles Brooks, CADC AII057410518
- Addiction (Substance Use Disorder) Counselor
- Escondido, CA
National Provider Identifier
1811473937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AII05710518
- Practice address
- 550 W Washington Ave
Escondido, CA 92025-1643 - Phone
- (760) 489-6380
- NPI assigned
- Jul 11, 2018
- Last updated
- Jul 11, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII05710518 | CA | Primary |
Addresses
Primary practice location
550 W Washington Ave
Escondido, CA 92025-1643
Mailing address
1215 E Grand Ave Apt 206B
Escondido, CA 92027-3147
Phone (760) 845-1518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AII057410518 | Other | CA | CERTIFIED AOD COUNSELOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AII05710518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1811473937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 E GRAND AVE APT 206B",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920273147",
"telephone_number": "760-845-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W WASHINGTON AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920251643",
"telephone_number": "760-489-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "HARRY",
"middle_name": "MILES",
"credential": "CADC AII057410518",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII05710518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED AOD COUNSELOR",
"identifier": "AII057410518",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.