Individual provider Active NPI

Alaina Jeanne Brokaw

  • Mental Health Counselor
  • Manchester, CT
National Provider Identifier
1487034989
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
49 Tolland Turnpike
#203 F
Manchester, CT 06042
Phone
(860) 222-7073
Fax
(860) 215-4180
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

49 Tolland Turnpike
#203 F
Manchester, CT 06042

Mailing address

89 Finley St
Manchester, CT 06040-5615
Phone (860) 222-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001689 CT Practitioner - Mental Health Counselor 6406207489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Tolland Turnpike
Suite 203F
Manchester, CT 06042-1737
Phone (860) 222-7073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alaina Brokaw, LPC, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

49 Tolland Tpke
#203F
Manchester, CT 06042
Phone (860) 222-7073

49 Tolland Tpke
Ste 203F
Manchester, CT 06042
Phone (860) 222-7073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1487034989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 FINLEY ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405615",
            "telephone_number": "860-222-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 TOLLAND TURNPIKE",
            "address_2": "#203 F",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06042",
            "telephone_number": "860-222-7073",
            "fax_number": "860-215-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKAW",
        "first_name": "ALAINA",
        "middle_name": "JEANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.