Individual provider Active NPI

Suzanne Brazee

  • Mental Health Counselor
  • Yorba Linda, CA
National Provider Identifier
1013538529
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
51530 Issued in CA
Practice address
4848 Lakeview Ave Ste 202D
Yorba Linda, CA 92886-3454
Phone
(949) 307-6498
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 51530 CA Primary

Addresses

Primary practice location

4848 Lakeview Ave Ste 202D
Yorba Linda, CA 92886-3454

Mailing address

4848 Lakeview Ave Ste 202D
Yorba Linda, CA 92886-3454
Phone (949) 307-6498

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
51530CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1013538529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 LAKEVIEW AVE STE 202D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863454",
            "telephone_number": "949-307-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 LAKEVIEW AVE STE 202D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863454",
            "telephone_number": "949-307-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEE",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "51530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.