Froda Gale Brotemarkle, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

29465 Issued in CA

Practice address

23591 El Toro Rd Ste 214
Lake Forest, CA 92630-4745

Phone

(949) 275-6093

Fax

(949) 586-6093

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1508950221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22992 DUNE MEAR RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303931",
            "telephone_number": "949-275-6093",
            "fax_number": "949-586-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23591 EL TORO RD STE 214",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304745",
            "telephone_number": "949-275-6093",
            "fax_number": "949-586-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTEMARKLE",
        "first_name": "FRODA",
        "middle_name": "GALE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "29465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.