Healthcare Provider Details

I. General information

NPI: 1245197797
Provider Name (Legal Business Name): JANE BROOKS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 CENTRAL AVE STE F-207
LOS ALAMOS NM
87544-3256
US

IV. Provider business mailing address

1821 MOUNTAIN VIEW PL
LOS ALAMOS NM
87544-2882
US

V. Phone/Fax

Practice location:
  • Phone: 541-221-5030
  • Fax:
Mailing address:
  • Phone: 541-221-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JANE M BROOKS
Title or Position: OWNER
Credential: LPCC
Phone: 541-221-5030