Active NPI
John A Brooks II, PSYD, PLLC
- Professional Counselor
- Monroe, MI
National Provider Identifier
1891825949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010016
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010016 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Operations LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.