Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke E Thibodaux

Individual provider Professional Counselor · NPI 1619621554

Brooke E Thibodaux is a Mental Health Counselor in Charleston, West Virginia. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2022

Practice location Address checks out

511 Morris St
Charleston, WV 25301-1326
Phone: (304) 525-7851
Fax: (304) 525-1073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Kenton Dr Ste 2, Charleston, WV 25311-1266 — (304) 941-6256

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2702 (WV)

Record details

NPI number1619621554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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