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MS. BROOKE MICHELLE NIELSEN MFT INTERN
NPI 1396023982
Marriage & Family Therapist in Solana Beach, CA

Active since July 29, 2011Opted out of Medicare · through Mar 28, 2028
312 S. CEDROS AVE. STE 334, STE. 304, SOLANA BEACH, CA 92107(858) 876-5043 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Brooke Michelle Nielsen Mft Intern NPPES

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

MS. BROOKE MICHELLE NIELSEN MFT INTERN (NPI 1396023982) is an individual marriage & family therapist in Solana Beach, California, licensed in California (53345) and active in the NPI registry since July 2011. She has opted out of Medicare through March 28, 2028.

NPPES Registry Identity

NPI1396023982
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. BROOKE MICHELLE NIELSENCredential: MFT INTERN
Location Address312 S. CEDROS AVE. STE 334, STE. 304Solana Beach, CA 92107
Mailing Address2089 Chatsworth Blvd Apt 7San Diego, CA 92107-2740 · (858) 876-5043
Phone(858) 876-5043
Sole ProprietorNo
Enumeration DateJuly 29, 2011
Last NPPES UpdateFebruary 12, 2014
✔ NPI 1396023982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 53345
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.
312 S. CEDROS AVE. STE 334, Solana Beach, CA 92107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Brooke Michelle Nielsen Mft Intern 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 March 28, 2024 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2024
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Nielsen's NPI number?

The NPI number for Brooke Nielsen is 1396023982. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Brooke Nielsen located?

Brooke Nielsen practices at 312 S. Cedros Ave. Ste 334 Ste. 304, Solana Beach, CA 92107. The listed phone number is (858) 876-5043.

What is Brooke Nielsen's specialty?

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

Is Brooke Nielsen enrolled in Medicare?

No. Brooke Nielsen has opted out of Medicare through March 28, 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 Brooke Nielsen was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.