KASSI J BROOKS (NPI# 1730741687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730741687 |
| Entity Type | Individual |
| Full Name | KASSI J BROOKS |
| Credential | LCGC |
| Practice Address |
615 N Michigan St Fl 1 South Bend IN 46601-1033 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746471100 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 74000326A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300037890 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508386699 | Kassi L Brooks | Speech-Language Pathologist | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2017-06-21 |
| Street Address |
615 N MICHIGAN ST FL 1 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937388 | Sunday Osunnuga | Emergency Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2006-05-12 |
| 1073159174 | Yolanda Kelbel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-11-23 |
| 1780192922 | Michelle Mccauley | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2018-01-22 |
| 1952814113 | Alison Haffner | Registered Nurse | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-11-09 |
| 1073048260 | Shelby L Towner | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-04-25 |
| 1518316637 | Ryan D. Enck | Family Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2016-06-09 |
| 1730547738 | Amy Hertzler Deel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2016-02-04 |
| 1528431632 | Tracy Lynne Mcneill | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-11-11 |
| 1194102723 | Patricia C Osmolak | Internal Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-05-04 |
| 1487041042 | Jonathan Vida | Family Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024431 | Gretchen Lynn Neff | Genetic Counselor, MS | 707 Cedar St, Suite 405, South Bend, IN 46617-2054 | 2005-12-20 |
| 1265045728 | Michael Christopher Zinsmeister | Genetic Counselor, MS | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2020-08-25 |
| 1104207919 | Melissa Holman | Genetic Counselor, MS | 615 N Michigan St, South Bend, IN 46601-1033 | 2015-06-17 |
| 1063841252 | Julie Horsting | Genetic Counselor, MS | 100 Navarre Pl, Suite 4410, South Bend, IN 46601-1156 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626306 | Alexis Ann Mcentire | Genetic Counselor, MS | 1002 Wishard Blvd Ste 1100, Indianapolis, IN 46202-2872 | 2020-07-22 |
| 1235755711 | Kahlen Darr | Genetic Counselor, MS | 975 W Walnut St Ste 130, Indianapolis, IN 46202-5181 | 2020-06-22 |
| 1649895285 | Kelly Jean Schmit | Genetic Counselor, MS | 410 W 10th St # 4048, Indianapolis, IN 46202-3010 | 2020-06-09 |
| 1922622893 | Christina Bouril | Genetic Counselor, MS | 975 W Walnut St # Ib130, Indianapolis, IN 46202-5181 | 2020-06-05 |
| 1104440304 | Lauren Frank | Genetic Counselor, MS | 575 Riley Hospital Dr Ste 4300, Indianapolis, IN 46202-5272 | 2020-06-03 |
| 1598391575 | Courtney Schuiteman | Genetic Counselor, MS | 10020 Don S Powers Dr, Munster, IN 46321-4054 | 2020-03-21 |
| 1285282798 | Malavika Praseed Mcgrail | Genetic Counselor, MS | 297 W Franciscan Dr Ste 104, Crown Point, IN 46307-4859 | 2019-08-28 |
| 1326690140 | Malia Rumbaugh | Genetic Counselor, MS | 410 W 10th St # 4003, Indianapolis, IN 46202-3010 | 2019-07-11 |
| 1013570977 | Rebecca Elaine Baud | Genetic Counselor, MS | 550 University Blvd Ste 5001, Indianapolis, IN 46202-5149 | 2019-04-17 |
| 1215402243 | Nicole Bertsch | Genetic Counselor, MS | 11050 Parkview Circle Dr Ste 1d, Fort Wayne, IN 46845-1739 | 2018-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.