Individual provider Active NPI

Brooke Carissa Aguiar

  • Mental Health Counselor
  • Burlingame, CA
National Provider Identifier
1083196240
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13260 Issued in CA
Practice address
530 El Camino Real Apt 110
Burlingame, CA 94010-5173
Phone
(303) 519-1469
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

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
13260CAMDMental Health Counselor

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5026 CA
Mental Health Counselor 101YM0800X 13260 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

530 El Camino Real Apt 110
Burlingame, CA 94010-5173

Mailing address

PO Box 3596
Redwood City, CA 94064-3596
Phone (303) 519-1469

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2023.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1083196240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3596",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940643596",
            "telephone_number": "303-519-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 EL CAMINO REAL APT 110",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105173",
            "telephone_number": "303-519-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIAR",
        "first_name": "BROOKE",
        "middle_name": "CARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "5026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "13260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.