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NPI · 1104825470 · NPPES-sourced

Etta Brooks Lisw, Licdc

ActiveMental Health Counselor
NPI Number
1104825470
Type 1 · Individual
Taxonomy Code
101YM0800X
Contact
(330) 644-3469
License OH · I4270
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2005-07-19
Primary practice addressOH · 44312-5281
3469 Fortuna DrAkron, OH 44312-5281
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About this NPIWhat this record shows.

NPI 1104825470 is registered to Etta Brooks Lisw, Licdc, a Mental Health Counselor practising at 3469 Fortuna Dr in Akron, Ohio. Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Etta Brooks Lisw, Licdc has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-07-19
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Etta Brooks Lisw, Licdc accepts. To confirm in-network status with your specific health plan, contact Etta Brooks Lisw, Licdc directly at (330) 644-3469.

Frequently asked

Yes. NPI 1104825470 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (330) 644-3469.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Etta Brooks Lisw, Licdc is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101YM0800X
Last updated2007-07
Enumerated2005-07-19
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Mental Health Counselor providers in Ohio.

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