ETTA C BROOKS LISW, LICDC
NPI 1104825470
Counselor - Mental Health in Akron, OH

Q: What is Etta Brooks's NPI number?

The NPI number for Etta Brooks is 1104825470. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Etta Brooks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Etta Brooks was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment

3469 FORTUNA DR, AKRON, OH 44312(330) 644-3469(330) 644-8519 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Etta C Brooks Lisw, Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETTA C BROOKS LISW, LICDC (NPI 1104825470) is an individual mental health provider in Akron, Ohio, licensed in Ohio (I4270) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1104825470

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameETTA C BROOKSCredential: LISW, LICDC

Location Address3469 FORTUNA DRAkron, OH 44312-5281

Mailing Address3469 Fortuna DrAkron, OH 44312-5281 · (330) 644-3469 · Fax (330) 644-8519

Phone(330) 644-3469

Fax(330) 644-8519

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJuly 19, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104825470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · I4270

3469 FORTUNA DR, Akron, OH 44312

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Etta C Brooks Lisw, Licdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911058979

PECOS Enrollment IDI20090702000259

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

115 services20 patients

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHONDA ROSSI-MARTIN LPCC

Counselor (Mental Health)