Paige Brodkin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC9777 Issued in CA

Practice address

28632 Roadside Dr Ste 210
Agoura Hills, CA 91301-6091

Phone

(310) 344-5629

NPI assigned

May 16, 2014

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1700297322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR STE 210",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016091",
            "telephone_number": "310-344-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR STE 210",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016091",
            "telephone_number": "310-344-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28720 Roadside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913014576",
            "country_code": "US",
            "telephone_number": "310-344-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODKIN",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC9777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Braun, AU.D.
• Mary Connolly Breiner, MFT
• Lari Bright, M.S, R.D.
• Broad Horizons Marriage and Family Counseling, Prof. Corp.
• Morgan Lillian Brock
• Andrea S Brooke, MD
• Diane Holzman Brosh, MFT
• Lindsey Budd
• Tara K Buran
• Derek Steven Bush, AMFT

• Mental Health Counselor in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.