Individual provider Active NPI

John A Brooks II, PSYD, PLLC

  • Professional Counselor
  • Monroe, MI
National Provider Identifier
1891825949
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010016 Issued in MI
Practice address
23 W 1St St
Monroe, MI 48161-2332
Phone
(734) 639-2262
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401010016 MI Primary

Addresses

Primary practice location

23 W 1St St
Monroe, MI 48161-2332

Mailing address

57 Murray St
Monroe, MI 48161-2069
Phone (734) 639-2262

Other names 1

  • John A Brooks II Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20241014000956 MI Practitioner - Mental Health Counselor 3678005899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Operations LLCGroup PAC ID 5799179123, 5 clinicians

Practice addresses (Care Compare)

23 W 1St St
Monroe, MI 48161-2332
Phone (734) 639-2262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401010016MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Operations LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

23 W 1st St
Monroe, MI 48161
Phone (734) 639-2262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1891825949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MURRAY ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612069",
            "telephone_number": "734-639-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612332",
            "telephone_number": "734-639-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "PSYD, PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BROOKS",
            "middle_name": "A",
            "suffix": "II",
            "credential": "PSYD, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.