Individual provider Active NPI

Gayle Ann Brohner, MFT

  • Mental Health Counselor
  • Sherman Oaks, CA
National Provider Identifier
1003182742
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22086 Issued in CA
Practice address
13448 Albers St
Sherman Oaks, CA 91401-5320
Phone
(818) 780-3580
Fax
(818) 780-2762
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 22086 CA Primary

Addresses

Primary practice location

13448 Albers St
Sherman Oaks, CA 91401-5320

Mailing address

13448 Albers St
Sherman Oaks, CA 91401-5320
Phone (818) 780-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22086CAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1003182742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13448 ALBERS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015320",
            "telephone_number": "818-780-3580",
            "fax_number": "818-780-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13448 ALBERS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015320",
            "telephone_number": "818-780-3580",
            "fax_number": "818-780-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROHNER",
        "first_name": "GAYLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.