Active NPI
Brooke Belong
- Marriage & Family Therapist
- Thousand Oaks, CA
National Provider Identifier
1053196311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141120
- Practice address
- 650 Hampshire Rd
Thousand Oaks, CA 91361-2510 - Phone
- (805) 601-6700
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 141120 | CA | Primary |
Addresses
Primary practice location
650 Hampshire Rd
Thousand Oaks, CA 91361-2510
Mailing address
650 Hampshire Rd
Thousand Oaks, CA 91361-2510
Phone (805) 601-6700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brookebelong@engageyou.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141120 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1053196311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HAMPSHIRE RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913612510",
"telephone_number": "805-601-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HAMPSHIRE RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913612510",
"telephone_number": "805-601-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELONG",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141120",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brookebelong@engageyou.com",
"affiliation": "N",
"endpointDescription": "Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "650 Hampshire Rd",
"city": "Thousand Oaks",
"state": "CA",
"country_code": "US",
"postal_code": "913612510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.