Active NPI
Brooke Carissa Aguiar
- Mental Health Counselor
- Burlingame, CA
National Provider Identifier
1083196240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13260
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13260 | CA | MD | Mental Health Counselor |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5026 | CA | |
| Mental Health Counselor | 101YM0800X | 13260 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.