ALEXUS BROOM LMFT - NPI 1700357241 - Marriage & Family Therapist in Fairfield, CA

Q: What is Alexus Broom's NPI number?

The NPI number for Alexus Broom is 1700357241. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Alexus Broom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexus Broom was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Alexus Broom Lmft NPPES

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

ALEXUS BROOM LMFT (NPI 1700357241) is an individual marriage & family therapist in Fairfield, California, licensed in California (138226) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700357241

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameALEXUS BROOMCredential: LMFT

Location Address520 CHADBOURNE RDFairfield, CA 94534-9656

Mailing AddressPo Box 2984Vacaville, CA 95696-2984 · (707) 474-7667

Phone(707) 366-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 10, 2018

Last NPPES UpdateSeptember 22, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2023

✔ NPI 1700357241 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 · 138226

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.

520 CHADBOURNE RD, Fairfield, CA 94534

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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

Alexus Broom Lmft 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.

PECOS PAC ID8022550292

PECOS Enrollment IDI20240604002162

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 9

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

PAUL JOSEPH TAMBINI LCSW

Social Worker (Clinical)