Jessica Brito, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

93426 Issued in CA

Practice address

19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407

Phone

(714) 592-4577

NPI assigned

Dec 30, 2015

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Share Our Selves Corporation

  dba Share Our Selves Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1508073685
  Medicare reassignment NPD
• Take Control Therapeutic Services Inc

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1609577840
  NPD Authorized official
• Share Our Selves Corporation

  dba SOS Children & Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newport Beach, CA
  • NPI 1033514708
  NPD
• Share Our Selves Corporation

  dba Share Our Selves Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144717778
  NPD
• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1669258612
  NPD
• West Coast Cardiovascular PC

  • Cardiovascular Disease Physician
  • Costa Mesa, CA
  • NPI 1356089551
  NPD
• Ethera Care Inc

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1093452716

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1033574454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "714-592-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "714-592-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITO",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2021-10-11",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "93426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "takecontrol@therapyemail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "19712 MacArthur Blvd Ste 110",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926122407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Renee Brinkworth
• Eden Marie Brion Neely, LCSW
• Bristol Park Medical Group, Inc
• Bristol Park Medical Group, Inc.
• Bristol Pharmacy
• Broad Reach Specialty Surgery Inc
• Cole Henry Brockhoff
• Katie Lynn Brodie, LMFT
• Sophia Boyiu Brodsky, OD
• Barbara Anne Brody

• Mental Health Counselor in Irvine, CA
• Providers in Irvine, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.