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

Shaina Brockway

Individual provider Professional Counselor · NPI 1104787530

Shaina Brockway is a Mental Health Counselor in Goodyear, Arizona. Qualified in 2017, 9 years ago. Practices with Family Care Center LLC, a 693-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

1616 N Litchfield Rd Ste 270
Goodyear, AZ 85395-1289
Phone: (623) 288-9137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-21206 (AZ)

Record details

NPI number1104787530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address23576 W Pecan Rd, Buckeye, AZ 85326-7233

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goodyear