Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Kettering

Individual provider Mental Health Counselor · NPI 1134569031

Brooke Kettering is a Marriage and Family Therapist in San Diego, California. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

4850 Muir Ave Apt 9
San Diego, CA 92107-2145
Phone: (805) 633-0761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 116397 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 116397 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134569031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2013
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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