Mark C. Brewer, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 46057 Issued in CA

Practice address

1207 Carlsbad Village Dr Ste O
Carlsbad, CA 92008-1958

Phone

(760) 500-3325

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wave Professional Clinical Counselors IncGroup PAC ID 6305153123, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wave Professional Clinical Counselors, Inc.

  • Community/Behavioral Health Agency
  • Carlsbad, CA
  • NPI 1700288768

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Wave Professional Clinical Counselors Inc.

  • Marriage & Family Therapist
  • Carlsbad, CA
  • NPI 1346627338
  NPD Authorized official
• Peak Health Services Apc

  • Psychiatry Physician
  • Oceanside, CA
  • NPI 1972246668
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1023154358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 MARJORIE LN",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082727",
            "telephone_number": "760-717-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CARLSBAD VILLAGE DR STE O",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081958",
            "telephone_number": "760-500-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MARK",
        "middle_name": "C.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Eugene Breeding, PH.D., MFT
• Mark Breese, DMD
• Breg, Inc.
• Steven Brennecke, RPH.
• Bressi Ranch Family Dentistry
• David Brick, DPT
• Bridge Physical Therapy
• Samantha Susan Brigante
• Tiffany Nicole Brijbag, OTR/L
• Itzamarian Briseno Garcia

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.