NICOLE BROOKS (NPI# 1710387592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710387592 |
| Entity Type | Individual |
| Full Name | NICOLE BROOKS |
| Credential | LCPC |
| Practice Address |
450 Corporate Dr Ste. 105 Kalispell MT 59901-6094 |
| Practice Telephone | 4067518017 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SWP-LCPC-LIC-831 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821574336 | Nicole A Brooks | Nurse Practitioner | 11532 Hammocks Glade Dr, Riverview, FL 33569-2955 | 2018-07-17 |
| 1053606632 | Nicole Brooks | Social Worker | 340 Kane St, Baltimore, MD 21224-2811 | 2011-06-13 |
| 1770112690 | Nicole Elizabeth Brooks | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-04-02 |
| 1891330668 | Nicole Brooks | Massage Therapist | 1554 Valley View Blvd, Altoona, PA 16602-6039 | 2019-11-15 |
| 1639720626 | Nicole Yvette Brooks | Case Manager/Care Coordinator | 398 W Bagley Rd, Berea, OH 44017-1369 | 2019-09-22 |
| 1952865768 | Nicole Marisa Brooks | Registered Nurse | 101 Park Hill Dr, Fredericksburg, VA 22401-3357 | 2019-01-25 |
| 1225523905 | Nicole Lynn Brooks | Advanced Practice Midwife | 301 University Blvd, Galveston, TX 77555-5303 | 2018-06-26 |
| 1578004206 | Nicole Brooks | Physical Therapy Assistant | 12997 Nettles Dr, Newport News, VA 23602-6913 | 2017-03-14 |
| 1215385190 | Nicole Brooks | Clinic/Center | 301 University Blvd, Galveston, TX 77555-0193 | 2016-06-01 |
| 1386000842 | Nicole Nina Brooks | Developmental Therapist | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2016-01-13 |
| Street Address |
450 CORPORATE DR STE. 105 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-6094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538441126 | Alex Leigh Fennelly | Chiropractor | 450 Corporate Dr, Suite 108, Kalispell, MT 59901-6094 | 2011-09-09 |
| 1467729616 | Fennelly Chiropractic Clinic, Inc. | Chiropractor | 450 Corporate Dr, Ste 108, Kalispell, MT 59901-6094 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964302 | Camille Deitz | Counselor | 17 2nd St E Ste 210, Kalispell, MT 59901-4500 | 2019-10-21 |
| 1033778105 | Stephen Marten | Counselor | 151 Business Center Loop, Kalispell, MT 59901-8559 | 2019-06-11 |
| 1407347164 | Diane Vonderheide | Counselor | 100 Financial Dr Ste 150, Kalispell, MT 59901-6002 | 2018-05-29 |
| 1346791241 | Julie Frederick | Counselor | 1354 Airport Rd, Kalispell, MT 59901-5701 | 2016-10-17 |
| 1467800235 | Greg Windham | Counselor | 1416 Woodland Ave, Kalispell, MT 59901-5147 | 2016-06-02 |
| 1275900078 | Kathryn Ryen | Counselor | 18 W Evergreen Dr, Kalispell, MT 59901-2810 | 2015-08-27 |
| 1164770301 | Sean Patrick | Counselor | 40 2nd St E Ste 230, Kalispell, MT 59901-6114 | 2012-08-20 |
| 1477835478 | Robin H Celkupa | Counselor | 690 N Meridian Rd Ste 205, Kalispell, MT 59901-3508 | 2011-09-15 |
| 1396042842 | Jennifer Kay Prendergast | Counselor | 322 2nd Ave W, Kalispell, MT 59901-4894 | 2011-02-18 |
| 1861714537 | Allyson Norwood Bush | Counselor | 723 5th Ave E # 10c, Kalispell, MT 59901-5321 | 2010-02-23 |
| Find all providers in KALISPELL | ||||
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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.