MARY M BROOKS (NPI# 1407461809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407461809 |
| Entity Type | Individual |
| Full Name | MARY M BROOKS |
| Credential | LADC, LPCC |
| Practice Address |
1619 Dayton Ave Ste 325 Saint Paul MN 55104-6495 |
| Mailing Address |
747 Cottage Ave E Saint Paul MN 55106-1708 |
| Practice Telephone | 6129876120 |
| Mailing Telephone | 6129876120 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303714 | MN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2590 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740743343 | Mary Kathleen Brooks | Speech-Language Pathologist | 3054 Clarkson Dr, Abingdon, MD 21009-2759 | 2019-04-10 |
| 1346754215 | Mary Imani Brooks | Social Worker | 700 S Fairfield Dr, Peachtree City, GA 30269 | 2017-11-29 |
| 1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
| 1144672452 | Mary Brooks | Specialist/Technologist | 2783 Arrowhead Trl, Oxford, OH 45056-9604 | 2016-07-11 |
| 1548660087 | Mary Kraft Brooks | Social Worker | 21174 Manchester Blvd, Harper Woods, MI 48225-1810 | 2014-09-03 |
| 1497077705 | Mary Shannon Brooks | Counselor | 2525 Wallingwood Dr Ste 700, Austin, TX 78746-6929 | 2010-02-28 |
| 1558498808 | Mary Phyllis Brooks | Social Worker | 901 Goodyear Ave, Gadsden, AL 35903-1106 | 2007-02-27 |
| 1558402917 | Mary Brooks | Counselor | 6400 S 70th St, Lincoln, NE 68516-3763 | 2007-02-09 |
| 1073520243 | Mary Louise Brooks | Licensed Practical Nurse | 96 Mill St, Nelsonville, OH 45764 | 2006-08-01 |
| 1952327611 | Mary C. Brooks | Nurse Practitioner | 12050 E Colonial Dr, Orlando, FL 32826-4705 | 2006-07-15 |
| Street Address |
1619 DAYTON AVE STE 325 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851759088 | Lhc Consulting, PC | Clinic/Center | 1619 Dayton Ave Ste 325, Saint Paul, MN 55104-6206 | 2016-02-02 |
| 1578161758 | Darrah Krotz | Counselor | 1619 Dayton Ave Ste 325, Saint Paul, MN 55104-6495 | 2020-10-11 |
| 1295250215 | Psychology of Health | Clinic/Center | 1619 Dayton Ave Ste 325, Saint Paul, MN 55104-6206 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386045 | Jill Thompson | Counselor | 1550 Eustis St Apt H, Saint Paul, MN 55108-1211 | 2020-08-10 |
| 1447892211 | Kimberly Marette | Counselor | 762 Transfer Rd Ste 116, Saint Paul, MN 55114-4506 | 2019-10-14 |
| 1639711641 | Megan Jean Manty | Counselor | 393 Dunlap St N Ste 300, Saint Paul, MN 55104-4207 | 2019-10-10 |
| 1417510124 | Hannah Kleese | Counselor | 1154 Grand Ave Unit 2, Saint Paul, MN 55105-2628 | 2019-04-17 |
| 1487116307 | Eric Wittkopf | Counselor | 1821 University Ave W Ste N180, Saint Paul, MN 55104-2803 | 2019-04-01 |
| 1467927087 | Kathleen Renee Semke | Counselor | 700 8th St E, Saint Paul, MN 55106-4414 | 2018-10-10 |
| 1750819777 | Laureen Ann Schwartz | Counselor | 338 Snelling Ave S, Saint Paul, MN 55105-2048 | 2017-06-03 |
| 1114468238 | Benjamin Kline | Counselor | 1163 Matilda St, Saint Paul, MN 55117-4820 | 2017-03-09 |
| 1841672623 | Linda Lee Labarre | Counselor | 68 Maria Ave, Saint Paul, MN 55106-6307 | 2015-06-29 |
| 1952789349 | Terry Campbell | Counselor | 333 Grand Ave Ste 204, Saint Paul, MN 55102-2583 | 2015-05-18 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on MARY M BROOKS.
| 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.