Active NPI
Brooke Elizabeth Gage, LPC
- Professional Counselor
- Broken Arrow, OK
National Provider Identifier
1972801215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1486
- Practice address
- 8937 S Garnett Rd
Broken Arrow, OK 74012-6004 - Phone
- (918) 872-9777
- Fax
- (918) 872-9779
- NPI assigned
- Mar 10, 2011
- Reactivated
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1486 | OK | Primary |
Addresses
Primary practice location
8937 S Garnett Rd
Broken Arrow, OK 74012-6004
Mailing address
6112 Devinney Way
Littleton, CO 80127
Phone (918) 284-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1486 | Other | OK | LICENSE #1486 |
Other names 1
- Brooke Elizabeth Allen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 6, 2025 through Jan 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey K McIlroy MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Claremore, OK
- NPI 1053531830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1972801215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 DEVINNEY WAY",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80127",
"telephone_number": "918-284-9333",
"fax_number": "918-342-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8937 S GARNETT RD",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126004",
"telephone_number": "918-872-9777",
"fax_number": "918-872-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2024-08-20",
"deactivation_date": "2013-05-06",
"reactivation_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #1486",
"identifier": "1486",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "ALLEN",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.