Gunnar Anthony Brooks, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012086 Issued in NY

Practice address

9076 North Rd RM 100
Bridgeport, NY 13030-9662

Phone

(315) 980-9615

NPI assigned

Jul 14, 2022

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gunnar.brooks@mcmh.medentdirect.com

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.

• Madison County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wampsville, NY
  • NPI 1689780546
  Medicare reassignment NPD
• Integrative Mental Health Counseling Services, PLLC

  dba Integrative Counseling Services, PLLC

  • Mental Health Counselor
  • Oswego, NY
  • NPI 1578740403
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1831823855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 NORTH ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371623",
            "telephone_number": "315-313-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9076 NORTH RD RM 100",
            "city": "BRIDGEPORT",
            "state": "NY",
            "postal_code": "130309662",
            "telephone_number": "315-980-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6221 Rt 31",
            "address_2": "suite 110",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "13039",
            "country_code": "US",
            "telephone_number": "315-699-5123",
            "fax_number": "315-216-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 N Court St",
            "address_purpose": "LOCATION",
            "city": "Wampsville",
            "state": "NY",
            "postal_code": "131637714",
            "country_code": "US",
            "telephone_number": "315-980-9615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "GUNNAR",
        "middle_name": "ANTHONY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "012086",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy O'Neill Alpuerto, RN
• Deborah Ann Burgan, RN
• Michael Clary
• Tracy A Crouch
• Kari Davis, PHARMD
• Dana Marie Delancey, DC, MS

• Mental Health Counselor in Bridgeport, NY
• Providers in Bridgeport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.