Active NPI
Judy Ann Brislain, ED.D. L.M.F.T.
- Psychologist
- Chico, CA
National Provider Identifier
1073679122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LEP1500
- Practice address
- 2545 Ceanothus Ave
Suite 130
Chico, CA 95973-7611 - Phone
- (530) 342-2567
- Fax
- (530) 342-2573
- NPI assigned
- Dec 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFT 15138 | CA | |
| Psychologist | 103T00000X | LEP1500 | CA | Primary |
Addresses
Primary practice location
2545 Ceanothus Ave
Suite 130
Chico, CA 95973-7611
Mailing address
2545 Ceanothus Ave
Suite 130
Chico, CA 95973-7611
Phone (530) 342-2567
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 15138 | CA | MD | Professional Counselor |
| LEP1500 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073679122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 CEANOTHUS AVE",
"address_2": "SUITE 130",
"city": "CHICO",
"state": "CA",
"postal_code": "959737611",
"telephone_number": "530-342-2567",
"fax_number": "530-342-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 CEANOTHUS AVE",
"address_2": "SUITE 130",
"city": "CHICO",
"state": "CA",
"postal_code": "959737611",
"telephone_number": "530-342-2567",
"fax_number": "530-342-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISLAIN",
"first_name": "JUDY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "ED.D. L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "MFT 15138",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LEP1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.