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CORINNE BRODNICKI M.A. LMFT
NPI 1669724506
Marriage & Family Therapist in Roseville, CA

Active since October 02, 2012Opted out of Medicare · through Jul 30, 2027
1212 COLOMA WAY STE D, ROSEVILLE, CA 95661(916) 407-4711 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corinne Brodnicki M.a. Lmft NPPES

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

CORINNE BRODNICKI M.A. LMFT (NPI 1669724506) is an individual marriage & family therapist in Roseville, California and active in the NPI registry since October 2012. She has opted out of Medicare through July 30, 2027 and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1669724506
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCORINNE BRODNICKICredential: M.A. LMFT
Location Address1212 COLOMA WAY STE DRoseville, CA 95661-4646
Mailing Address1212 Coloma Way Ste DRoseville, CA 95661-4646 · (916) 407-4711
Phone(916) 407-4711
Sole ProprietorYes
Enumeration DateOctober 2, 2012
Last NPPES UpdateNovember 19, 2018
✔ NPI 1669724506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
1212 COLOMA WAY STE D, Roseville, CA 95661
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Secondary Practice Location 1

Location 12750 Sutterville Rd # Cottage2Sacramento, CA 95820-1024 · Phone (916) 290-8149 · Fax (916) 456-4636

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Corinne Brodnicki M.a. Lmft 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 July 30, 2025 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2025
Opt-Out In Effect ThroughJuly 30, 2027Opt-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 Corinne Brodnicki's NPI number?

The NPI number for Corinne Brodnicki is 1669724506. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Corinne Brodnicki located?

Corinne Brodnicki practices at 1212 Coloma Way Ste D, Roseville, CA 95661. The listed phone number is (916) 407-4711.

What is Corinne Brodnicki's specialty?

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

Is Corinne Brodnicki enrolled in Medicare?

No. Corinne Brodnicki has opted out of Medicare through July 30, 2027. 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 Corinne Brodnicki was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.