BROOKE L HARRISON LMHC
NPI 1033510078
Counselor - Mental Health in Fort Walton Beach, FL

Active since September 09, 2014Opted out of Medicare · through Sep 27, 2026
203 CLOVERDALE BLVD, FORT WALTON BEACH, FL 32547(850) 712-3779 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke L Harrison Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE L HARRISON LMHC (NPI 1033510078) is an individual mental health provider in Fort Walton Beach, Florida, licensed in Florida (12824) and active in the NPI registry since September 2014. She has opted out of Medicare through September 27, 2026.

NPPES Registry Identity

NPI1033510078
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBROOKE L HARRISONCredential: LMHC
Location Address203 CLOVERDALE BLVDFort Walton Beach, FL 32547-1405
Mailing AddressPo Box 800Shalimar, FL 32579-0800 · (850) 712-3779
Sole ProprietorYes
Enumeration DateSeptember 9, 2014
NPI 1033510078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · 12824
203 CLOVERDALE BLVD, Fort Walton Beach, FL 32547

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Brooke L Harrison Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 27, 2024 through September 27, 2026.

Opt-Out Effective DateSeptember 27, 2024
Opt-Out In Effect ThroughSeptember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Counselor (Mental Health)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Social Worker (Clinical)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Nurse Practitioner (Family)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Harrison's NPI number?

The NPI number for Brooke Harrison is 1033510078. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Brooke Harrison located?

Brooke Harrison practices at 203 Cloverdale Blvd, Fort Walton Beach, FL 32547. The listed phone number is (850) 712-3779.

What is Brooke Harrison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brooke Harrison enrolled in Medicare?

No. Brooke Harrison has opted out of Medicare through September 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brooke Harrison was last updated on September 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.