Individual provider Active NPI

Ebony Moriah Brooks, LCMHC

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1962970293
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14085 Issued in NC
Practice address
106 Langtree Village Dr Ste 301
Mooresville, NC 28117-7594
Phone
(704) 698-1826
Fax
(855) 515-1826
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-23931 NC
Professional Counselor 101YP2500X 14085 NC
Mental Health Counselor 101YM0800X 14085 NC Primary

Addresses

Primary practice location

106 Langtree Village Dr Ste 301
Mooresville, NC 28117-7594

Mailing address

106 Langtree Village Dr Ste 301
Mooresville, NC 28117-7594
Phone (704) 698-1826

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
LCAS-23931NCMDAddiction (Substance Use Disorder) Counselor
14085NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Enduring Care Counseling Services PLLC Addiction (Substance Use Disorder) CurrentSince Aug 1, 2021 Accepting new patients
Sparc Network Addiction (Substance Use Disorder) PastSince Feb 1, 2021 Accepting new patients

Locations

1501 N Charlotte Ave
Ste A105
Monroe, NC 28110

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

Organizations & group practices 2

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1962970293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LANGTREE VILLAGE DR STE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177594",
            "telephone_number": "704-698-1826",
            "fax_number": "855-515-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LANGTREE VILLAGE DR STE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177594",
            "telephone_number": "704-698-1826",
            "fax_number": "855-515-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "EBONY",
        "middle_name": "MORIAH",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23931",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14085",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.