Individual provider Active NPI

Brooke Olivia Wittenmeier, AMFT

  • Marriage & Family Therapist
  • Studio City, CA
National Provider Identifier
1841099330
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT133824 Issued in CA
Practice address
11712 Moorpark St Ste 101
Studio City, CA 91604-2155
Phone
(747) 205-0896
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT133824 CA Primary

Addresses

Primary practice location

11712 Moorpark St Ste 101
Studio City, CA 91604-2155

Mailing address

11712 Moorpark St Ste 101
Studio City, CA 91604-2155
Phone (747) 205-0896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000578 CA Practitioner - Marriage and Family Therapist 7618499831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11712 Moorpark St
Suite 101
Studio City, CA 91604-2155
Phone (747) 205-0896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT133824CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zeeva Behavioral Health, a Professional Licensed Clinical Soc CurrentSince Jan 1, 2025 Accepting new patients
Zeeva Integrative Licensed Clinical Social Worker Services, PC CurrentSince Jun 29, 2025 Accepting new patients

Locations

11500 W Olympic Blvd
Ste 400
Los Angeles, CA 90064
Phone (310) 595-5984

11712 Moorpark St
Ste 101
Studio City, CA 91604
Phone (747) 205-0896

5404 Whitsett Ave
Valley Vlg, CA 91607
Phone (818) 574-0078

Organizations & group practices 2

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1841099330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 101",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042155",
            "telephone_number": "747-205-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 101",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042155",
            "telephone_number": "747-205-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENMEIER",
        "first_name": "BROOKE",
        "middle_name": "OLIVIA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT133824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.