Kelly Broffman, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

140255 Issued in CA

Practice address

11340 W Olympic Blvd Ste 330
Los Angeles, CA 90064-1613

Phone

(310) 431-1935

NPI assigned

Apr 9, 2025

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1619761996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "310-431-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "310-431-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6310 San Vicente Blvd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485446",
            "country_code": "US",
            "telephone_number": "310-431-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROFFMAN",
        "first_name": "KELLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Brody, MFT
• Margaret Brody, MD
• Adam Corey Broedel
• Michelle Broehm, LCSW
• Emma Marshall Broer
• Robert Hyman Brofman, M.D.
• Brokhim, LLC
• Michelle Brokhim
• Michael Brollini
• Elizabeth Ann Bromley, M.D.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.