Charnell Javette Brooks, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5454 Issued in LA

Practice address

608 Woodland St
Ruston, LA 71270-4758

Phone

(318) 436-1844

NPI assigned

Nov 5, 2015

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pave Center, Inc.

  • Community/Behavioral Health Agency
  • Homer, LA
  • NPI 1639633597
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1821461351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 EMBERWOOD CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115159",
            "telephone_number": "318-436-1844",
            "fax_number": "318-584-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WOODLAND ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704758",
            "telephone_number": "318-436-1844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Murrel St",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "LA",
            "postal_code": "710403967",
            "country_code": "US",
            "telephone_number": "318-245-4769",
            "fax_number": "318-523-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHARNELL",
        "middle_name": "JAVETTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Brice
• Bridge Treatment
• Madeline Bridges
• Christopher Van Brister
• John Broocks, M.D.
• Brookshire Grocery Company (Super 1 Pharmacy)
• Caterra C Brooms, CSW
• Jakob Brown
• Joseph Brown, ST
• Keanetta Nicole Brown

• Professional Counselor in Ruston, LA
• Providers in Ruston, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.