Active NPI
Brooke Redman
- Marriage & Family Therapist
- Camarillo, CA
National Provider Identifier
1922670793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120131
- Practice address
- 360 Mobil Ave Ste 205D
Camarillo, CA 93010-6373 - Phone
- (323) 486-3351
- NPI assigned
- Jul 12, 2021
- Last updated
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 120131 | CA | Primary |
Addresses
Primary practice location
360 Mobil Ave Ste 205D
Camarillo, CA 93010-6373
Mailing address
2244 Cervato Dr
Camarillo, CA 93012-8846
Phone (303) 941-2559
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120131 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1922670793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 CERVATO DR",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128846",
"telephone_number": "303-941-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MOBIL AVE STE 205D",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930106373",
"telephone_number": "323-486-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.