Organization Active NPI

Dybka Behavioral Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Havasu City, AZ
National Provider Identifier
1831842384
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DYBKA BEHAVIORAL HEALTH PLLC
Practice address
1930 Mesquite Ave Ste 6
Lake Havasu City, AZ 86403-5772
Phone
(208) 497-2197
Fax
(208) 820-1495
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Brooke Alison Dybka, LMFTNPI 1548875958
Title
Owner
Phone
(928) 599-7794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1930 Mesquite Ave Ste 6
Lake Havasu City, AZ 86403-5772

Mailing address

9169 W State St
PMB 379
Garden City, ID 83714
Phone (928) 599-7794

Other names 1

  • High Desert Counseling and Consulting Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401003754 AZ Part B Supplier - Clinic/Group Practice 0547745002 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Havasu City, AZ

National Provider Directory

National Provider Directory

Locations

1930 Mesquite Ave
Ste 6
Lake Havasu City, AZ 86403
Phone (208) 497-2197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1831842384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9169 W STATE ST",
            "address_2": "PMB 379",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "928-599-7794",
            "fax_number": "928-543-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 6",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772",
            "telephone_number": "208-497-2197",
            "fax_number": "208-820-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYBKA BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "DYBKA",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-599-7794",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Desert Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.