JESSICA RAE BROOKS LMHC
NPI 1154992873
Counselor - Mental Health in Cape Coral, FL

Q: What is Jessica Brooks's NPI number?

The NPI number for Jessica Brooks is 1154992873. It was assigned to this individual provider in the NPPES registry on July 3, 2021.

Q: What is Jessica 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 Jessica Brooks was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2021PECOS Enrolled

3321 DEL PRADO BLVD S STE 12, CAPE CORAL, FL 33904(941) 876-8033(239) 439-7822 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2023, Jul 3, 2021 (2 updates tracked since 2021).

On this page

About Jessica Rae Brooks Lmhc NPPES

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

JESSICA RAE BROOKS LMHC (NPI 1154992873) is an individual mental health provider in Cape Coral, Florida, licensed in Florida (MH22385) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154992873

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESSICA RAE BROOKSCredential: LMHC

Location Address3321 DEL PRADO BLVD S STE 12Cape Coral, FL 33904-7263

Mailing Address1137 Sw 30th StCape Coral, FL 33914-8215 · (239) 404-5222

Phone(941) 876-8033

Fax(239) 439-7822

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 3, 2021

Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1154992873 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 FL · MH22385

3321 DEL PRADO BLVD S STE 12, Cape Coral, FL 33904

Open in Google Maps ↗

Other Identifiers 1

Medicaid113878700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rae Brooks Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769833300

PECOS Enrollment IDI20240109001112

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Brooks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Untamed Therapy And Consulting

Same address

Mental Health

3321 DEL PRADO BLVD S STE 12
Cape Coral, FL 33904

Reassigned Medicare billing, Florida enrollment

NPI 1720811557 (941) 876-8033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

UNTAMED THERAPY AND CONSULTING

Counselor (Mental Health)

3321 DEL PRADO BLVD S STE 12
CAPE CORAL, FL 33904

Lee County (941) 876-8033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Brooks's NPI number?

The NPI number for Jessica Brooks is 1154992873. It was assigned to this individual provider in the NPPES registry on July 3, 2021.

Where is Jessica Brooks located?

Jessica Brooks practices at 3321 Del Prado Blvd S Ste 12, Cape Coral, FL 33904. The listed phone number is (941) 876-8033.

What is Jessica Brooks's specialty?

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

Is Jessica Brooks enrolled in Medicare?

Yes. Jessica Brooks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Brooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Brooks reassigns Medicare benefits to Untamed Therapy And Consulting (Cape Coral, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Brooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Brooks was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.