Brooklyn Lanae Brockway, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

109982 Issued in CA

Practice address

327 S K St
Tulare, CA 93274-5416

Phone

(559) 688-2043

Fax

(559) 688-1304

NPI assigned

Oct 2, 2017

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

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.

Opted out of Medicare

Yes, effective Feb 14, 2024 through Feb 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Horizon Mental Health

  • Community/Behavioral Health Agency
  • Tulare, CA
  • NPI 1881719839
  NPD (past)
• Kings Counseling Center

  • Marriage & Family Therapist
  • Hanford, CA
  • NPI 1205895364
  NPD (past)
• Kings Counseling Center

  • Community/Behavioral Health Agency
  • Hanford, CA
  • NPI 1760783989
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1780194902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913638",
            "telephone_number": "559-627-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S K ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932745416",
            "telephone_number": "559-688-2043",
            "fax_number": "559-688-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKWAY",
        "first_name": "BROOKLYN",
        "middle_name": "LANAE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Partners LP
• Genevieve Marie Brar, LCSW
• Mandeep S Brar, MD
• Bryan Brassfield
• James Alfred Briggs, D.D.S.
• David Robert Brown, DO
• Mariam Buckowski, MD, MPH
• Jakelin Buenrostro
• Jocelyn S. Buhler-Iverson, D.D.S.
• Dennis K. Buhler, D.D.S

• Marriage & Family Therapist in Tulare, CA
• Providers in Tulare, 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 Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.