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BROOKE E THIBODAUX
NPI 1619621554
Counselor - Professional in Charleston, WV

Active since February 09, 2022PECOS Enrolled
511 MORRIS ST, CHARLESTON, WV 25301(304) 525-7851(304) 525-1073 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2025, Feb 9, 2022 (2 updates tracked since 2022).

About Brooke E Thibodaux NPPES

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

BROOKE E THIBODAUX (NPI 1619621554) is an individual professional provider in Charleston, West Virginia, licensed in West Virginia (2702) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619621554
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBROOKE E THIBODAUX
Location Address511 MORRIS STCharleston, WV 25301-1326
Mailing Address99 Cracker Barrel Dr Ste 100Barboursville, WV 25504-1650 · (304) 525-7851 · Fax (304) 697-1251
Phone(304) 525-7851
Fax(304) 525-1073
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 9, 2022
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1619621554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WV · 2702
511 MORRIS ST, Charleston, WV 25301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke E Thibodaux is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092201798
PECOS Enrollment IDI20260101000185
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.

Other Providers at the Same Location NPPES 20

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

DOROTHY THOMAS LGSW
Social Worker (Clinical)
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 525-7851
JEFFREY LEE GREER LGSW
Social Worker
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 341-0511
GINA MICHELLE PUZZUOLI M.D.
Psychiatry & Neurology (Psychiatry)
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 341-0511
KRISTINA M CLARK LPC
Counselor (Mental Health)
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 525-7851
MRS. ROBIN SUMMERS CORNISH CPHT
Pharmacy Technician
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 341-0257
MRS. DEIDRE G DORIA LSW
Social Worker
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 341-0511
MS. ANN E JOHNSTON CRNA
Nurse Anesthetist, Certified Registered
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 388-6220
MRS. MARGARET GAIL PRATT FNP-C
Nurse Practitioner (Family)
511 MORRIS ST
CHARLESTON, WV 25301
Kanawha County (304) 341-0511

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 Thibodaux's NPI number?

The NPI number for Brooke Thibodaux is 1619621554. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Brooke Thibodaux located?

Brooke Thibodaux practices at 511 Morris St, Charleston, WV 25301. The listed phone number is (304) 525-7851.

What is Brooke Thibodaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brooke Thibodaux enrolled in Medicare?

Yes. Brooke Thibodaux is registered in the Medicare PECOS enrollment system.

What insurance does Brooke Thibodaux accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Brooke Thibodaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brooke Thibodaux was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.