EBONIE BROOKS (NPI# 1871194019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871194019 |
Entity Type | Individual |
Full Name | EBONIE BROOKS |
Practice Address |
6417 Odana Rd Suite 5 Madison WI 53719 |
Practice Telephone | 6082686530 |
Mailing Telephone | 6082686530 |
Enumeration Date | 2020-11-04 |
Last Update Date | 2020-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326407370 | Ebonie Brooks | Licensed Practical Nurse | 416 Criswell Ct, West Carrollton, OH 45449-2470 | 2016-02-18 |
Street Address |
6417 ODANA RD SUITE 5 |
City | MADISON |
State | WI |
Zip Code | 53719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184725277 | Journey Counseling LLC | Counselor | 6417 Odana Rd, Madison, WI 53719-1128 | 2006-09-25 |
1609420579 | Brittany Renee Neal | Counselor | 6417 Odana Rd, 5, Madison, WI 53719 | 2019-07-30 |
1649822941 | Youhung Her-xiong | Counselor | 6417 Odana Rd, Suite 5, Madison, WI 53719 | 2019-07-16 |
1497231021 | Blanca Nydia Cruz | Counselor | 6417 Odana Rd, Ste 5, Madison, WI 53719 | 2018-07-17 |
1194212373 | Pamela Ramsey | Counselor | 6417 Odana Rd, Suite 5, Madison, WI 53719-1110 | 2018-04-13 |
1053825927 | Kevin Llewellyn Doss | Counselor | 6417 Odana Rd, Suite 5, Madison, WI 53719-1110 | 2017-11-29 |
1962808683 | Michael Fafinski | Massage Therapist | 6417 Odana Rd, Suite 4b, Madison, WI 53719-1128 | 2014-11-06 |
1982988036 | Pamela Soward | Counselor | 6417 Odana Rd, Sutie 5, Madison, WI 53719-1110 | 2011-10-07 |
1225348121 | James A Hawk | Counselor | 6417 Odana Rd, Suite 5, Madison, WI 53719-1110 | 2010-10-14 |
1932434420 | Cornerstone Mental Health Associates | Psychologist | 6417 Odana Rd, #c, Madison, WI 53719 | 2009-10-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
Find all providers in zip 53719 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710591086 | Carrie Allen | Counselor | 222 Kyser Blvd Apt 73, Madison, AL 35758-2307 | 2020-09-03 |
1548872765 | Kelly Kendricks | Counselor | 2002 Atwood Ave Ste 225, Madison, WI 53704-5382 | 2020-08-19 |
1740803097 | Megan Gour | Counselor | 8102 Wellness Way, Madison, WI 53719-8800 | 2020-05-21 |
1578197141 | Nicole Danielle Morra | Counselor | 141 Durham Rd Ste 19, Madison, CT 06443-2657 | 2020-02-23 |
1982236741 | Jolin Mitchel | Counselor | 437 S Yellowstone Dr Ste 219, Madison, WI 53719-1061 | 2020-02-10 |
1346880127 | Tree of Life Treatment Services | Counselor | 437 S Yellowstone Dr Ste 200, Madison, WI 53719-2902 | 2020-01-09 |
1720623226 | Reflections Mental Health LLC | Counselor | 2802 Coho St Ste 203, Madison, WI 53713-4521 | 2019-11-08 |
1740822287 | Diamond Jones | Counselor | 2093 W Us 90, Madison, FL 32340-4308 | 2019-10-16 |
1457819617 | Emma Coleen Tagariello | Counselor | 170 Ridgedale Ave, Madison, NJ 07940-1220 | 2019-03-06 |
1144785940 | Vallis LLC | Counselor | 814 Palmer Rd Ste B4, Madison, AL 35758-3185 | 2019-02-05 |
Find all providers in MADISON |
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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.