SHAINA BROCKWAY
NPI 1104787530
Counselor - Professional in Goodyear, AZ
About Shaina Brockway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAINA BROCKWAY (NPI 1104787530) is an individual professional provider in Goodyear, Arizona, licensed in Arizona (LPC-21206) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
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
Enrolled in Medicare and accepts Medicare assignment
Shaina Brockway is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOODYEAR, AZ 85395
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 Shaina Brockway's NPI number?
The NPI number for Shaina Brockway is 1104787530. It was assigned to this individual provider in the NPPES registry on November 24, 2025.
Where is Shaina Brockway located?
Shaina Brockway practices at 1616 N Litchfield Rd Ste 270, Goodyear, AZ 85395. The listed phone number is (623) 288-9137.
What is Shaina Brockway's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shaina Brockway enrolled in Medicare?
Yes. Shaina Brockway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Shaina Brockway was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Shaina Brockway · NPI 1104787530
Professional provider in Goodyear, Arizona. Individual provider, active in the CMS NPPES registry since November 24, 2025.
## Identity
- **NPI:** 1104787530 (Entity type: Individual)
- **Enumerated:** November 24, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-21206 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1616 N LITCHFIELD RD STE 270, Goodyear, AZ 85395-1289
- **Phone:** (623) 288-9137
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 2, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1104787530) · Data from the CMS NPPES public registry.