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TERESA LYNN BROOKS
NPI 1962023267
Counselor - Mental Health in Fort Wayne, IN

Active since April 28, 2020PECOS Enrolled
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804(260) 432-8503 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa Lynn Brooks NPPES

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

TERESA LYNN BROOKS (NPI 1962023267) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962023267
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA LYNN BROOKS
Location Address6202 CONSTITUTION DR STE DFort Wayne, IN 46804-1583
Mailing Address6202 Constitution Dr Ste DFort Wayne, IN 46804-1583 · (260) 432-8503
Phone(260) 432-8503
Sole ProprietorNo
Enumeration DateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1962023267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6202 CONSTITUTION DR STE D, Fort Wayne, IN 46804
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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)

Teresa Lynn Brooks 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 12

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

LAKETA SHA-RON JACKSON MFT
Marriage & Family Therapist
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
TYSON RAE FLORA MA LMHC
Counselor (Mental Health)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
DR. JAMES E BURG LMFT, LMHC, PHD
Counselor (Mental Health)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
MACKENZIE DECHAND MA
Counselor (Mental Health)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
SHARON S MILEY LMFT
Marriage & Family Therapist
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
LIFEWORKS COUNSELING & CONSULTING, INC.
Counselor (Professional)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
MR. LON P JOHNSON MA
Marriage & Family Therapist
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
KASEY M BOURKE MSW, LCSW
Social Worker (Clinical)
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066

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 Teresa Brooks's NPI number?

The NPI number for Teresa Brooks is 1962023267. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Teresa Brooks located?

Teresa Brooks practices at 6202 Constitution Dr Ste D, Fort Wayne, IN 46804. The listed phone number is (260) 432-8503.

What is Teresa Brooks's specialty?

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

Is Teresa Brooks enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Teresa Brooks was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.