Individual provider Active NPI

Brooke Alison Dybka, LMFT

  • Marriage & Family Therapist
  • Lake Havasu City, AZ
National Provider Identifier
1548875958
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-8496 Issued in ID
Practice address
1930 Mesquite Ave Ste 6
Lake Havasu City, AZ 86403-5772
Phone
(928) 599-7794
Fax
(928) 543-7175
NPI assigned
Sep 11, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X LMFT-8496 ID Primary

Addresses

Primary practice location

1930 Mesquite Ave Ste 6
Lake Havasu City, AZ 86403-5772

Mailing address

1930 Mesquite Ave Ste 6
Lake Havasu City, AZ 86403-5772
Phone (928) 599-7794

Other practice location 1

9169 W State St Ste 379
Garden City, ID 83714-1733
Phone (928) 599-7794

Other names 1

  • Brooke Alison Mills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260401003801 AZ Practitioner - Marriage and Family Therapist 2365927829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1930 Mesquite Ave
Suite 6
Lake Havasu City, AZ 86403-5772
Phone (928) 599-7794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT-8496IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dybka Behavioral Health PLLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

1930 Mesquite Ave
Ste 6
Lake Havasu City, AZ 86403
Phone (208) 497-2197

9169 W State St
Garden City, ID 83714
Phone (208) 497-2197

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1548875958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 6",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772",
            "telephone_number": "928-599-7794",
            "fax_number": "928-543-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 6",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772",
            "telephone_number": "928-599-7794",
            "fax_number": "928-543-7175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9169 W State St Ste 379",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "ID",
            "postal_code": "837141733",
            "country_code": "US",
            "telephone_number": "928-599-7794",
            "fax_number": "928-543-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYBKA",
        "first_name": "BROOKE",
        "middle_name": "ALISON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-8496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "MILLS",
            "middle_name": "ALISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.