Individual provider Active NPI

Danyelle Jean Brooks, MA

  • Mental Health Counselor
  • Florence, AL
National Provider Identifier
1922373802
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
635 W College St
Florence, AL 35630-5313
Phone
(256) 764-3431
Fax
(256) 768-7462
NPI assigned
Mar 12, 2012
Last updated
Mar 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

635 W College St
Florence, AL 35630-5313

Mailing address

PO Box 941
635 West College Street
Florence, AL 35631-0941
Phone (256) 764-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, MS, LA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240213000351 TN Practitioner - Mental Health Counselor 3173966587 Reassigns benefits to 1 organization
I20240213000444 AL Practitioner - Mental Health Counselor 3173966587 Reassigns benefits to 1 organization
I20240219000965 MS Practitioner - Mental Health Counselor 3173966587 Reassigns benefits to 1 organization
I20241010003996 LA Practitioner - Mental Health Counselor 3173966587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9576LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 6, 2024 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jul 29, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 6, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 6, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jul 29, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 29, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 6, 2024 Accepting new patients
Riverbend Center for Mental Health Past Accepting new patients

Locations

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1922373802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "address_2": "635 WEST COLLEGE STREET",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310941",
            "telephone_number": "256-764-3431",
            "fax_number": "256-768-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305313",
            "telephone_number": "256-764-3431",
            "fax_number": "256-768-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DANYELLE",
        "middle_name": "JEAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.