JESSICA BROMLEY MFT
NPI 1306506860
Counselor - Mental Health in Sebastopol, CA

Active since December 26, 2021PECOS Enrolled
435 PETALUMA AVE STE 134, SEBASTOPOL, CA 95472(707) 395-5290 Get Directions Write a Review

NPPES record last updated: December 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Bromley Mft NPPES

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

JESSICA BROMLEY MFT (NPI 1306506860) is an individual mental health provider in Sebastopol, California, licensed in California (108736) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306506860
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA BROMLEYCredential: MFT
Location Address435 PETALUMA AVE STE 134Sebastopol, CA 95472-4273
Mailing Address9198 Rio Vista RdForestville, CA 95436-9567
Sole ProprietorYes
Enumeration DateDecember 26, 2021
NPPES CertifiedDecember 26, 2021
NPI 1306506860 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 CA · 108736
435 PETALUMA AVE STE 134, Sebastopol, CA 95472

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Bromley Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jessica Bromley's NPI number?

The NPI number for Jessica Bromley is 1306506860. It was assigned to this individual provider in the NPPES registry on December 26, 2021.

Where is Jessica Bromley located?

Jessica Bromley practices at 435 Petaluma Ave Ste 134, Sebastopol, CA 95472. The listed phone number is (707) 395-5290.

What is Jessica Bromley's specialty?

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

Is Jessica Bromley enrolled in Medicare?

Yes. Jessica Bromley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bromley was last updated on December 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.