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MRS. BROOKE MOBLEY BUCK MA, LPC
NPI 1295073161
Counselor in Alexandria, VA

Active since January 28, 2013Opted out of Medicare · through Mar 26, 2028
383 S PICKETT ST, ALEXANDRIA, VA 22304(803) 524-1227 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brooke Mobley Buck Ma, Lpc NPPES

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

MRS. BROOKE MOBLEY BUCK MA, LPC (NPI 1295073161) is an individual counselor in Alexandria, Virginia, licensed in District Of Columbia (PRC14201) and active in the NPI registry since January 2013. She has opted out of Medicare through March 26, 2028.

NPPES Registry Identity

NPI1295073161
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. BROOKE MOBLEY BUCKCredential: MA, LPC
Location Address383 S PICKETT STAlexandria, VA 22304-4749
Mailing Address383 S Pickett StAlexandria, VA 22304-4749 · (803) 524-1227
Phone(803) 524-1227
Sole ProprietorYes
Enumeration DateJanuary 28, 2013
✔ NPI 1295073161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in DC · PRC14201
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
383 S PICKETT ST, Alexandria, VA 22304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Brooke Mobley Buck Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2024 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2024
Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Brooke Buck's NPI number?

The NPI number for Brooke Buck is 1295073161. It was assigned to this individual provider in the NPPES registry on January 28, 2013.

Where is Brooke Buck located?

Brooke Buck practices at 383 S Pickett St, Alexandria, VA 22304. The listed phone number is (803) 524-1227.

What is Brooke Buck's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Brooke Buck enrolled in Medicare?

No. Brooke Buck has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brooke Buck was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.