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CARLY CHRISTINE BROOKS MA, LLPC
NPI 1629643119
Counselor - Professional in Grand Rapids, MI

Active since May 26, 2021PECOS Enrolled
2400 EASTERN AVE SE, GRAND RAPIDS, MI 49507(616) 805-9276(616) 326-2905 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Christine Brooks Ma, Llpc NPPES

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

CARLY CHRISTINE BROOKS MA, LLPC (NPI 1629643119) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401019347) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629643119
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARLY CHRISTINE BROOKSCredential: MA, LLPC
Location Address2400 EASTERN AVE SEGrand Rapids, MI 49507-3632
Mailing Address357 Washington St Se Apt 1Grand Rapids, MI 49503-4338 · (925) 989-7631
Phone(616) 805-9276
Fax(616) 326-2905
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1629643119 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 MI · 6401019347
2400 EASTERN AVE SE, Grand Rapids, MI 49507
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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 (PECOS)

Carly Christine Brooks Ma, Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608345459
PECOS Enrollment IDI20260521000553
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 4

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

PATRICK A NELSON
Counselor (Professional)
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433
SEAN A ROBINSON LLPC
Counselor
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433
GRAND RAPIDS COUNSELING SERVICES
Counselor (Professional)
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433
MRS. ANDREA JOYCE DATTADEEN LLPC
Counselor
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433

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 Carly Brooks's NPI number?

The NPI number for Carly Brooks is 1629643119. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Carly Brooks located?

Carly Brooks practices at 2400 Eastern Ave SE, Grand Rapids, MI 49507. The listed phone number is (616) 805-9276.

What is Carly Brooks's specialty?

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

Is Carly Brooks enrolled in Medicare?

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

What insurance does Carly Brooks accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Carly Brooks 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 Carly Brooks was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.