MEDICARE: JANE BROOKS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1245197797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANE BROOKS COUNSELING LLC

Provider Business Mailing Address
First Line	:	1821 MOUNTAIN VIEW PL
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-2882
Country	:	US
Telephone Number	:	541-221-5030
Fax Number	:

Provider Business Practice Location Address
First Line	:	1247 CENTRAL AVE STE F-207
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-3256
Country	:	US
Telephone Number	:	541-221-5030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANE M BROOKS
Credential	:	LPCC
Telephone Number	:	541-221-5030

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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