Individual provider Active NPI

Michael Brooks

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1891236345
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT132093 Issued in CA
Practice address
560 Honeysuckle Drive
Vacaville, CA 95687
Phone
(707) 474-8942
Fax
(707) 446-8100
NPI assigned
Mar 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 LMFT132093 CA Primary

Addresses

Primary practice location

560 Honeysuckle Drive
Vacaville, CA 95687

Mailing address

3069 Alamo Dr # 184
Vacaville, CA 95687-6344
Phone (707) 474-8942

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
LMFT132093CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Family Therapy Inc. CurrentSince Nov 17, 2024 Accepting new patients
Positive Change Counseling Services, a Professional Corporation of Mar Marriage & Family Therapist PastSince Jan 1, 2024 Accepting new patients

Locations

406 Main St
Ste L
Vacaville, CA 95688
Phone (707) 474-8942

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1891236345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ALAMO DR # 184",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876344",
            "telephone_number": "707-474-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HONEYSUCKLE DRIVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-474-8942",
            "fax_number": "707-446-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT132093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.