Brooke Anne Whitley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

695 Sierra Rose Dr
Reno, NV 89511-2060

Phone

(775) 453-4143

Fax

(775) 996-5616

NPI assigned

Jun 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2024 through Jan 10, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Edwards and Von Ravensberg, Prof. LLC

  dba Great Basin Behavioral Health and Wellness

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1508279746
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1659948420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-453-4143",
            "fax_number": "775-996-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-453-4143",
            "fax_number": "775-996-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 S Center St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895012304",
            "country_code": "US",
            "telephone_number": "775-527-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-02-11",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rudy@greatbasinbehavioral.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA-compliant email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "HIPPA-compliant email",
            "address_1": "695 Sierra Rose Dr",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895112060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deanna M. Whitehorn, MSN, APRN-CNP
• Dana Marie Whitehouse
• Syreeta Whitelow
• Kimberly Whitetree
• Rebekah Whitham
• Warren Whitley, O.D.
• Aleise Whitlock, APRN
• Darren Whitlock
• Lindsey Whitlock, CFA
• Scott Robert Whitlow, M.D.

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; 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.