Individual provider Active NPI

Brooke Hoeferle, LAC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1780452789
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-24179 Issued in AZ
Practice address
4115 E Valley Auto Dr Ste 104
Mesa, AZ 85206-4610
Phone
(623) 216-7320
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-24179 AZ Primary

Addresses

Primary practice location

4115 E Valley Auto Dr Ste 104
Mesa, AZ 85206-4610

Mailing address

4115 E Valley Auto Dr Ste 104
Mesa, AZ 85206-4610
Phone (623) 216-7320

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

State licenses

LicenseStateTypeSpecialty
LAC-22587AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Counseling & Behavioral Health Services PastSince Dec 24, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1780452789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064610",
            "telephone_number": "623-216-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064610",
            "telephone_number": "623-216-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFERLE",
        "first_name": "BROOKE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-24179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.