Individual provider Active NPI

Brooke Angela Scripture

  • Addiction (Substance Use Disorder) Counselor
  • Bemidji, MN
National Provider Identifier
1952077836
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
306139 Issued in MN
Practice address
403 4TH St NW Ste 300
Bemidji, MN 56601-3196
Phone
(218) 444-5155
Fax
(218) 333-3921
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 306139 MN Primary

Addresses

Primary practice location

403 4TH St NW Ste 300
Bemidji, MN 56601-3196

Mailing address

PO Box 3004
Bemidji, MN 56619-3004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brookes@paulbunyan.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
306139MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1952077836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3004",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566193004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 4TH ST NW STE 300",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013196",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIPTURE",
        "first_name": "BROOKE",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brookes@paulbunyan.net",
            "affiliation": "N",
            "address_1": "403 4th St NW Ste 300",
            "city": "Bemidji",
            "state": "MN",
            "country_code": "US",
            "postal_code": "566013196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.