Individual provider Active NPI

Monica Brokaw, MS, LMFT CAND

  • Counselor
  • Lawton, OK
National Provider Identifier
1013445824
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
19 NE 20TH St
Lawton, OK 73507-7406
Phone
(580) 919-7948
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X OK Primary

Addresses

Primary practice location

19 NE 20TH St
Lawton, OK 73507-7406

Mailing address

19 NE 20TH St
Lawton, OK 73507-7406
Phone (580) 919-7948

Other practice location 1

4213 SE Camden Way
Lawton, OK 73501-6538
Phone (580) 919-7948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1013445824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NE 20TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735077406",
            "telephone_number": "580-919-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NE 20TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735077406",
            "telephone_number": "580-919-7948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4213 SE Camden Way",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735016538",
            "country_code": "US",
            "telephone_number": "580-919-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROKAW",
        "first_name": "MONICA",
        "credential": "MS, LMFT CAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.