Allene Maxwell Brooks, LPC, LISAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12652 Issued in AZ

Practice address

15270 W Brookside LN
121
Surprise, AZ 85374-2450

Phone

(480) 226-6429

NPI assigned

May 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Grace M Brooks Other name

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": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306713600000",
    "number": "1972897643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 W CONTINENTAL DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083443",
            "telephone_number": "480-226-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15270 W BROOKSIDE LN",
            "address_2": "121",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742450",
            "telephone_number": "480-226-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ALLENE",
        "middle_name": "MAXWELL",
        "name_prefix": "Ms.",
        "credential": "LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "1582",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "12652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BROOKS",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "LPC, LISAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Nichole Brock, FNP-BC
• Connor Gordan Brock
• Jamie Brockman, PAC
• Brookhaven Assisted Living, LLC
• Julia Brookman, M.D
• Johanna M Brooks, PA-C
• Allison Brown
• Carolyn Jane Brown, M.D.
• Marissa Brown, D.M.D.
• Nicolette Brown

• Professional Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.