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

Carole Lee Brookshire, MFT115869

Individual provider Marriage & Family Therapist · NPI 1912419607

Carole Lee Brookshire, MFT115869 is a Marriage and Family Therapist in Simi Valley, California. Qualified in 2016, 10 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

250 E Easy St # 6B
Simi Valley, CA 93065-1769
Phone: (818) 613-8417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11564 Poema Pl Unit 101, Chatsworth, CA 91311-1153 — (818) 613-8417
  • 660 E Los Angeles Ave, Simi Valley, CA 93065-1873 — (818) 206-0360

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 115869 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 115869 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 9298 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 115869 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1912419607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT115869
Sole proprietorYes
NPI enumeratedNovember 2, 2017
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Simi Valley