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BROOKLYN LANE
NPI 1629833868
Counselor - Mental Health in Blakely, GA

Active since February 16, 2024PECOS Enrolled
763 JESSE JOHNSON DR, BLAKELY, GA 39823(229) 724-2050 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooklyn Lane NPPES

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

BROOKLYN LANE (NPI 1629833868) is an individual mental health provider in Blakely, Georgia, licensed in Georgia (APC009522) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629833868
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBROOKLYN LANE
Location Address763 JESSE JOHNSON DRBlakely, GA 39823-3224
Mailing AddressPo Box 1988Albany, GA 31702-1988
Phone(229) 724-2050
Sole ProprietorNo
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1629833868 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 GA · APC009522
763 JESSE JOHNSON DR, Blakely, GA 39823
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooklyn Lane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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

ALBANY AREA COMMUNITY SERVICE BOARD
Public Health or Welfare
763 JESSE JOHNSON DR
BLAKELY, GA 39823
Early County (229) 430-4002
MISS KARI SUZANNE DUNN LPC
Counselor (Professional)
763 JESSE JOHNSON DR
BLAKELY, GA 39823
Early County (229) 724-2050
ALBANY AREA CSB
Public Health or Welfare
763 JESSE JOHNSON DR
BLAKELY, GA 39823
Early County (229) 430-4002
SYDNEY THOMAS JOHNSON
Social Worker
763 JESSE JOHNSON DR
BLAKELY, GA 39823
Early County (229) 894-9612
MRS. HALEY RYKARD LPC
Counselor (Professional)
763 JESSE JOHNSON DR
BLAKELY, GA 39823
Early County (229) 724-2050
PENELOPE LEIGH MCDONALD LPC
Counselor (Professional)
763 JESSE JOHNSON DR
BLAKELY, GA 39823
Early County (229) 724-2050

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 Brooklyn Lane's NPI number?

The NPI number for Brooklyn Lane is 1629833868. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Brooklyn Lane located?

Brooklyn Lane practices at 763 Jesse Johnson Dr, Blakely, GA 39823. The listed phone number is (229) 724-2050.

What is Brooklyn Lane's specialty?

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

Is Brooklyn Lane enrolled in Medicare?

Yes. Brooklyn Lane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooklyn Lane was last updated on February 16, 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.