Individual provider Active NPI

Clotilda Brokaw Heimbuch, M.S.

  • Marriage & Family Therapist
  • Pittsburgh, PA
National Provider Identifier
1629126867
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000380 Issued in PA
Practice address
300 Mount Lebanon Blvd
2214
Pittsburgh, PA 15234-1512
Phone
(412) 563-0650
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000380 PA Primary
Marriage & Family Therapist 106H00000X MF23577 CA

Addresses

Primary practice location

300 Mount Lebanon Blvd
2214
Pittsburgh, PA 15234-1512

Mailing address

300 Mount Lebanon Blvd Ste 206
Pittsburgh, PA 15234-1507
Phone (412) 563-0650

Other names 1

  • Chloe Brokaw Heimbuch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MF23577CAMDMarriage & Family Therapist
MF000380PAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1629126867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT LEBANON BLVD STE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341507",
            "telephone_number": "412-563-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT LEBANON BLVD",
            "address_2": "2214",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341512",
            "telephone_number": "412-563-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBUCH",
        "first_name": "CLOTILDA",
        "middle_name": "BROKAW",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000380",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MF23577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "HEIMBUCH",
            "middle_name": "BROKAW",
            "credential": "M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

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