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BROOKE KETTERING
NPI 1134569031
Marriage & Family Therapist in San Diego, CA

Active since June 25, 2013PECOS Enrolled
4850 MUIR AVE APT 9, SAN DIEGO, CA 92107(805) 633-0761 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Sep 23, 2021 (2 updates tracked since 2021).

About Brooke Kettering NPPES

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

BROOKE KETTERING (NPI 1134569031) is an individual marriage & family therapist in San Diego, California, licensed in California (116397) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134569031
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBROOKE KETTERING
Location Address4850 MUIR AVE APT 9San Diego, CA 92107-2145
Mailing Address4850 Muir Ave Apt 9San Diego, CA 92107-2145 · (805) 633-0761
Phone(805) 633-0761
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2013
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1134569031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 116397
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 116397 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4850 MUIR AVE APT 9, San Diego, CA 92107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Kettering is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143664557
PECOS Enrollment IDI20260519004737
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

BROOKE KETTERING LMFT
Clinic/Center (Adult Mental Health)
4850 MUIR AVE APT 9
SAN DIEGO, CA 92107
San Diego County (805) 633-0761

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 Kettering's NPI number?

The NPI number for Brooke Kettering is 1134569031. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Brooke Kettering located?

Brooke Kettering practices at 4850 Muir Ave Apt 9, San Diego, CA 92107. The listed phone number is (805) 633-0761.

What is Brooke Kettering's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Brooke Kettering enrolled in Medicare?

Yes. Brooke Kettering is registered in the Medicare PECOS enrollment system.

What insurance does Brooke Kettering accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Brooke Kettering as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brooke Kettering was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.