MICHELL BROCKMAN
NPI 1063948685
Counselor - Mental Health in Vancouver, WA
About Michell Brockman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELL BROCKMAN (NPI 1063948685) is an individual mental health provider in Vancouver, Washington and active in the NPI registry since May 2017. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Michell Brockman 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 January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANCOUVER, WA 98686
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 Michell Brockman's NPI number?
The NPI number for Michell Brockman is 1063948685. It was assigned to this individual provider in the NPPES registry on May 2, 2017.
Where is Michell Brockman located?
Michell Brockman practices at 13023 NE Highway 99 Ste 7, Vancouver, WA 98686. The listed phone number is (360) 329-2887.
What is Michell Brockman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Michell Brockman enrolled in Medicare?
No. Michell Brockman has opted out of Medicare through January 1, 2028. 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 Michell Brockman was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michell Brockman · NPI 1063948685
Mental Health provider in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since May 2, 2017.
## Identity
- **NPI:** 1063948685 (Entity type: Individual)
- **Enumerated:** May 2, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13023 NE HIGHWAY 99 STE 7, Vancouver, WA 98686-2699
- **Phone:** (360) 329-2887
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063948685) · Data from the CMS NPPES public registry.