Individual provider Active NPI

Brihana Alexia Agyepong

  • Professional Counselor
  • Santa Ana, CA
National Provider Identifier
1043867161
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19242 Issued in CA
Practice address
200 W Santa Ana Blvd Ste 1000
Santa Ana, CA 92701-7552
Phone
(714) 480-6767
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19242 CA Primary

Addresses

Primary practice location

200 W Santa Ana Blvd Ste 1000
Santa Ana, CA 92701-7552

Mailing address

200 W Santa Ana Blvd Ste 1000
Santa Ana, CA 92701-7552
Phone (714) 480-6767

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260313001265 CA Practitioner - Mental Health Counselor 0941783310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 W Civic Ctr Dr
448C
Santa Ana, CA 92701-4521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19242CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince May 4, 2025 Accepting new patients
County of Orange CurrentSince Jan 27, 2026 Accepting new patients
County of Orange CurrentSince Jan 27, 2026 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Aug 1, 2019 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

200 W Santa Ana Blvd
Ste 1000
Santa Ana, CA 92701
Phone (714) 480-6641

401 W Civic Center Dr
Ste 801
Santa Ana, CA 92701

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1043867161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD STE 1000",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927017552",
            "telephone_number": "714-480-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD STE 1000",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927017552",
            "telephone_number": "714-480-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEPONG",
        "first_name": "BRIHANA",
        "middle_name": "ALEXIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "19242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.