Gage Brookman
NPI 1710658612ActiveIndividual· Counselor, Professional· Blue Springs, MO
Counselor, Professional with Country Crossroads Counseling LLC, practicing in Blue Springs, Missouri. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1710658612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 22, 2021 |
| Last updated in NPPES | Dec 8, 2023 |
| Certified by provider | Dec 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 2023033771 | MO |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MO) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Country Crossroads Counseling LLCWarrensburg, MO · 14 clinicians
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