Leasia Brooks
Counselor, Mental Health in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1760061378
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1760061378
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leasia Brooks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2021
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LC13749 | MD | Yes |
Practice location
13902 Mary Ann DrUpper Marlboro, MD 20774-8530
Phone 240-507-3962
Mailing address
13902 Mary Ann DrUpper Marlboro, MD 20774-8530
Phone 240-507-3962
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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