MS. BETTY LEE BROOKS (NPI# 1730308305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730308305 |
| Entity Type | Individual |
| Full Name | MS. BETTY LEE BROOKS |
| Credential | MS LCPC |
| Practice Address |
1811 Laurelwood Dr Hailey ID 83333 |
| Mailing Address |
Po Box 981 Hailey ID 83333 |
| Practice Telephone | 2083090237 |
| Practice Fax Number | 2087889317 |
| Mailing Telephone | 2083090237 |
| Mailing Fax Number | 2087889317 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC 3366 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | Q6363 | 01 |
| Street Address |
1811 LAURELWOOD DR |
| City | HAILEY |
| State | ID |
| Zip Code | 83333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| 1619067030 | James Allen Mcelveen | Dentist | 5 E Galena St, Hailey, ID 83333 | 2006-10-14 |
| Find all providers in zip 83333 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508267469 | Mark Albrecht | Counselor | 100 Golden Eagle Dr S, Hailey, ID 83333-5129 | 2014-09-10 |
| 1679915920 | Eric Robert Kafka | Counselor | 141 Citation Way Unit 5, Hailey, ID 83333-5104 | 2013-07-26 |
| 1043305253 | Terri Sue James | Counselor | 220 2nd Ave. South, Hailey, ID 83333 | 2006-10-04 |
| 1518386275 | Carrie Thomas Scott | Counselor | 400 S Main St, Suite 302a, Hailey, ID 83333-8402 | 2014-04-09 |
| 1346668852 | Benton Wagner | Counselor | 1450 Aviation Dr Ste 202, Hailey, ID 83333-8785 | 2014-04-01 |
| 1386807477 | Tami S Kammer | Counselor | 221 S River St, Suite 2b, Hailey, ID 83333-8436 | 2008-07-08 |
| 1003006883 | Janice Webb Payne | Counselor | 416 S Main St, Suite B-3, Hailey, ID 83333-8440 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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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.