NICOLE LEE ANN BROOKS LPC
NPI 1639889280
Counselor - Professional in Manassas, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since December 05, 2022PECOS EnrolledAccepts Medicare Assignment

7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-7800(703) 792-5699 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2025, Dec 5, 2022 (2 updates tracked since 2022).

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About Nicole Lee Ann Brooks Lpc NPPES

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

NICOLE LEE ANN BROOKS LPC (NPI 1639889280) is an individual professional provider in Manassas, Virginia, licensed in Virginia (0701011692) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639889280

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICOLE LEE ANN BROOKSCredential: LPC

Location Address7969 ASHTON AVEManassas, VA 20109-2885

Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-7800 · Fax (703) 792-5699

Phone(703) 792-7800

Fax(703) 792-5699

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 5, 2022

Last NPPES UpdateApril 8, 20252 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1639889280 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 VA · 0701011692

7969 ASHTON AVE, Manassas, VA 20109

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Secondary Practice Location 1

Location 18221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · Phone (703) 559-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Lee Ann Brooks Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486006855

PECOS Enrollment IDI20240122002080, I20250415001509

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.