GARY BROOKS (NPI# 1396276176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396276176 |
| Entity Type | Individual |
| Full Name | GARY BROOKS |
| Credential | LICDC-CS |
| Practice Address |
179 Garfield Ln Jefferson OH 44047-1060 |
| Practice Telephone | 4409944752 |
| Mailing Telephone | 4409944752 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
101100 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558633636 | Gary Earl Brooks | Dentist | 247 Sw Lamson St, Willamina, OR 97396 | 2012-02-03 |
| 1962728824 | Gary W Brooks Jr. | Internal Medicine | 10109 E 79th Street, Southwestern Regional Medical Center, Tulsa, OK 74133 | 2010-04-15 |
| 1154672574 | Gary Roger Brooks | Psychologist | 2027 S 61st St, Suite 122, Temple, TX 76504-6867 | 2012-09-25 |
| 1831173160 | Gary A Brooks | Family Medicine | 1575 Concentric Blvd, Saginaw, MI 48604-9312 | 2005-11-30 |
| Street Address |
179 GARFIELD LN |
| City | JEFFERSON |
| State | OH |
| Zip Code | 44047-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386043669 | Kathleen Susan Crim | Occupational Therapist | 42 South Chestnut Street, Jefferson Rehab and Wellness, Jefferson, OH 44047 | 2014-08-22 |
| 1215369897 | Kristy R Walker | Licensed Practical Nurse | 1811 South Denmark Rd, Jefferson, OH 44047 | 2013-08-06 |
| 1881824696 | Sharon K Cattell | Licensed Practical Nurse | 1152rt307west, Jefferson, OH 44047 | 2009-07-15 |
| 1003041864 | Deborah K. Franley | Family Medicine | 158 W. Jefferson St, Jefferson, OH 44047 | 2009-05-22 |
| 1184836751 | Cheryl Riggleman | Home Health Aide | 2902 Griggs Road, Jefferson, OH 44047 | 2007-05-04 |
| 1740341171 | Margaret Mary Hamper | Registered Nurse | 1507 Lenox New Lyme Rd, Jefferson, OH 44047 | 2006-12-12 |
| 1700963220 | Christopher R E Phillips | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1912074410 | Donald M Burkholder | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-29 |
| 1205913738 | Casey J Hammond | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1518099852 | Gregory M. Ray | Chiropractor | 24 W Pine St, Jefferson, OH 44047-1022 | 2007-03-12 |
| Find all providers in zip 44047 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235518325 | Amber Joyce | Counselor | 1541 Annex Rd Ste 200, Jefferson, WI 53549-9803 | 2015-05-22 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1790709608 | Harold Landis Satterwhite IIi | Counselor | 101 Colvard St Unit 1, Jefferson, NC 28640-9797 | 2006-07-26 |
| 1275500761 | Paige A Stephens | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2006-03-02 |
| 1427572569 | Heather Hegge | Counselor | 1541 Annex Rd, Jefferson, WI 53546 | 2017-07-31 |
| 1700329042 | Richard Allen Bare | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2016-11-18 |
| 1417407297 | Cory R Krueger | Counselor | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2016-10-05 |
| 1851847511 | Courtney Camp Benson | Counselor | 101 Colvard St, Jefferson, NC 28640 | 2016-08-31 |
| 1730597295 | Mitch Trout | Counselor | 1484 State Route 46 N, Suite 7, Jefferson, OH 44047-8145 | 2014-07-29 |
| 1043625908 | Clare Kain | Counselor | 827 Causeway Blvd, Jefferson, LA 70121-2738 | 2014-06-30 |
| Find all providers in JEFFERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.