GAGE BROOKMAN – Professional Counselor, NPI 1710658612

GAGE BROOKMAN is a healthcare provider. based in Kingsville, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 2023033771 (MO). The NPI Number for GAGE BROOKMAN is 1710658612

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
GAGE BROOKMAN
NPI
1710658612
Phone
(816) 308-0246
Address
441 NW W HWY
Enumeration Date
22 September 2021
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163080246
Graduation Year
2022 (4 years ago)
PAC ID
4082110572
Group Practice PAC ID
1153850961
Professional Enrollment ID
I20251002004948
Address ID
MO640143539BL1203X7XXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

Provider Addresses for GAGE BROOKMAN

  • 441 NW W HWY

    KINGSVILLE, MO 640619117

    Phone: (816) 308-0246

    Fax: (816) 566-0486

    Type: Mailing

  • 1203 S 7 HWY

    BLUE SPRINGS, MO 640143539

    Phone: (816) 308-0246

    Fax: (816) 566-0486

    Type: Location

  • 7108 S KANNER HWY

    STUART, FL 349977462

    Phone:

    Type: Mailing

  • 9393 W 110TH ST # 51

    OVERLAND PARK, KS 662101442

    Phone: (855) 832-6727

    Type: Location

  • 703 N 3rd St

    Rich Hill, MO 647792042

    Phone: (816) 308-0246

    Fax: (816) 566-0486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251002004948IMental Health CounselorMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153850961View full group profile
NameSpecialtyState
Mental Health CounselorMO
Mental Health CounselorMO
Clinical Social WorkerMO
Mental Health CounselorMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Mental Health CounselorMO
Marriage And Family TherapistMO
Clinical Social WorkerMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

How do I look up GAGE BROOKMAN by NPI?
Use NPI 1710658612 when you need to reference GAGE BROOKMAN in forms, claims, or directories.
Is GAGE BROOKMAN active in the national directory?
GAGE BROOKMAN's public NPI profile is in an active state.
What field does GAGE BROOKMAN work in?
You can think of GAGE BROOKMAN as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is GAGE BROOKMAN's primary listing?
We display Kingsville, Missouri because that is what the record indicates for GAGE BROOKMAN.
How can I contact GAGE BROOKMAN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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