Brooke T Caouette, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

98619 Issued in CA

Practice address

27130 Paseo Espada Ste 522
San Juan Capistrano, CA 92675-2719

Phone

(949) 633-0482

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By the provider in NPPES

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

Practice roles

Locations

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

• Village Wellness Center, a Family Counseling Corporation

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
  • NPI 1194396432
  NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1861165532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33526 VALLEY VIEW CT",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291520",
            "telephone_number": "949-293-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27130 PASEO ESPADA STE 522",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752719",
            "telephone_number": "949-633-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAOUETTE",
        "first_name": "BROOKE",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "98619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camino Health Center
• Camino Health Center
• Steven Charles Canfield, DDS
• Casey Cao-Son, PA-C
• Ida Cao, ASW
• Capistrano Beach Recovery Center LLC
• Capistrano Beach Recovery Center LLC
• Capistrano Connection Academy
• Capistrano Dental Partnership (Capistrano dental group)
• Capistrano Skin Cancer Center, Inc

• Mental Health Counselor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Jul 28, 2021; 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.