Ashley Brooks, CADC 1 R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T-23-3224 Issued in OR

Practice address

4211 W 11TH Ave
Eugene, OR 97402-5435

Phone

(541) 249-7730

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By 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

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1932971512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 N CLOVERLEAF LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771108",
            "telephone_number": "541-515-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025435",
            "telephone_number": "541-249-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ASHLEY",
        "credential": "CADC 1 R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-23-3224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Bronson
• Kimberly Dawn Bronz, PH. D.
• Matthew Pahl Brookens, LCSW
• Tiffany Jean Brookes, L.M.T
• Michelle L Brookey, CNM
• Holly Brooks, LMT
• Kaitlyn Brooks, PTA
• Rebekah Jane Brooks, LCSW
• Stephanie Lynn Brooks, A.T.C.
• Zachary Brooks, DPM

• Addiction (Substance Use Disorder) Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.