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BROOKLYN LANAE BROCKWAY AMFT
NPI 1780194902
Marriage & Family Therapist in Tulare, CA

Active since October 02, 2017Opted out of Medicare · through Feb 14, 2028
327 S K ST, TULARE, CA 93274(559) 688-2043(559) 688-1304 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Dec 3, 2018 (2 updates tracked since 2018).

About Brooklyn Lanae Brockway Amft NPPES

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

BROOKLYN LANAE BROCKWAY AMFT (NPI 1780194902) is an individual marriage & family therapist in Tulare, California, licensed in California (109982) and active in the NPI registry since October 2017. She has opted out of Medicare through February 14, 2028.

NPPES Registry Identity

NPI1780194902
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBROOKLYN LANAE BROCKWAYCredential: AMFT
Location Address327 S K STTulare, CA 93274-5416
Mailing Address711 N Court StVisalia, CA 93291-3638 · (559) 627-1490
Phone(559) 688-2043
Fax(559) 688-1304
Sole ProprietorNo
Enumeration DateOctober 2, 2017
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1780194902 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 · 109982
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.
327 S K ST, Tulare, CA 93274
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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

Brooklyn Lanae Brockway Amft 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 February 14, 2024 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2024
Opt-Out In Effect ThroughFebruary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

BRENDA LEE QUIROZ LMFT
Marriage & Family Therapist
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
JOSHUA T STEELMAN AMFT
Marriage & Family Therapist
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
MS. ALICIA CASTRO LCSW
Social Worker (Clinical)
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
MS. CHERYL M LENNON-ARMAS LMFT
Marriage & Family Therapist
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
ADELINA RAMIREZ MSW
Social Worker (Clinical)
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
DEYSI G ARREDONDO MSW
Case Manager/Care Coordinator
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
VALERIE MARIE NAVARRO LCSW
Social Worker (Clinical)
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043
MONIQUE ANAYA
Social Worker
327 S K ST
TULARE, CA 93274
Tulare County (559) 688-2043

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 Brooklyn Brockway's NPI number?

The NPI number for Brooklyn Brockway is 1780194902. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Brooklyn Brockway located?

Brooklyn Brockway practices at 327 S K St, Tulare, CA 93274. The listed phone number is (559) 688-2043.

What is Brooklyn Brockway's specialty?

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

Is Brooklyn Brockway enrolled in Medicare?

No. Brooklyn Brockway has opted out of Medicare through February 14, 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 Brooklyn Brockway was last updated on November 15, 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.