Individual provider Active NPI

Brooklyn Corbett Crawford, LMFTA

  • Marriage & Family Therapist
  • New Bern, NC
National Provider Identifier
1619422722
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11067A Issued in NC
Practice address
2801 Neuse Blvd
New Bern, NC 28562-2838
Phone
(252) 636-6007
NPI assigned
Aug 18, 2016
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11067A NC Primary

Addresses

Primary practice location

2801 Neuse Blvd
New Bern, NC 28562-2838

Mailing address

1815 Bradford Dr
Apt 210
Greenville, NC 27858-5434
Phone (507) 382-4272

Other names 1

  • Brooklyn Leigh Corbett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240322004075 MN Practitioner - Marriage and Family Therapist 2062859242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11067ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Through Therapy Collective, Inc Marriage & Family Therapist CurrentSince Feb 10, 2024 Accepting new patients

Locations

3217 Hennepin Ave
Ste 3
Minneapolis, MN 55408
Phone (612) 460-7098

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1619422722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 BRADFORD DR",
            "address_2": "APT 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585434",
            "telephone_number": "507-382-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622838",
            "telephone_number": "252-636-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BROOKLYN",
        "middle_name": "CORBETT",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "11067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKLYN",
            "last_name": "CORBETT",
            "middle_name": "LEIGH",
            "credential": "LMFTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.