Brooks Behavioral Health Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BROOKS BEHAVIORAL HEALTH SERVICES, LLC

Practice address

20 W 3Rd St # 1-B
Frederick, MD 21701-6077

Phone

(301) 732-5857

Fax

(301) 732-5857

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Charles Brooks, MA, LCADC

Title

Owner

Phone

(301) 732-5857

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1962900563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 3RD ST # 1-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016077",
            "telephone_number": "301-732-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 3RD ST # 1-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016077",
            "telephone_number": "301-732-5857",
            "fax_number": "301-732-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-732-5857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258826900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook Lane Behavioral Services, Inc.
• Brook Lane Behavioral Services, Inc.
• Brook Lane Behavioral Services, Inc.
• Brookfield Health Services
• Barbara Ann Brookmyer, M.D.
• David Charles Brooks, LCADC
• Sherene Lynnell Broome, CNM
• Laura Alissa Brosbe, D.O.
• Brittney Lynn Brossart, MSW, LGSW
• Bailee Elisabeth Brown, PA-C

• Mental Health Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.