Active NPI
Marcie P Brooks, LPCC
- Counselor
- Santa Fe, NM
National Provider Identifier
1811961592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0692
- Practice address
- 1502 St Francis Drive
Santa Fe, NM 87505 - Phone
- (505) 989-7754
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0692 | NM | Primary |
Addresses
Primary practice location
1502 St Francis Drive
Santa Fe, NM 87505
Mailing address
15 Amigos Lane
Santa Fe, NM 87508
Phone (505) 989-7754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57092 | Medicaid | NM |
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 |
|---|---|---|---|
| 0692 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811961592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 AMIGOS LANE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87508",
"telephone_number": "505-989-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 ST FRANCIS DRIVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-989-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MARCIE",
"middle_name": "P",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57092",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
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.