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

Carly Christine Brooks, MA, LLPC

Individual provider Professional Counselor · NPI 1629643119

Carly Christine Brooks, MA, LLPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2400 Eastern Ave SE
Grand Rapids, MI 49507-3632
Phone: (616) 805-9276
Fax: (616) 326-2905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401019347 (MI)

Record details

NPI number1629643119
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LLPC
Sole proprietorYes
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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