Individual provider Active NPI

Jennifer Anne Brehme, LMFT

  • Marriage & Family Therapist
  • Pomona, CA
National Provider Identifier
1104080340
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45918 Issued in CA
Practice address
363 S Park Ave
Pomona, CA 91766-1560
Phone
(909) 623-1619
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45918 CA Primary

Addresses

Primary practice location

363 S Park Ave
Pomona, CA 91766-1560

Mailing address

2609 Morningside St
Pasadena, CA 91107-4874
Phone (310) 463-4681

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
I20250916002467 CA Practitioner - Marriage and Family Therapist 5395249122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3800 Kilroy Airport Way
Suite 100
Long Beach, CA 90806-6818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45918CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare in Action Medical Group CurrentSince Aug 5, 2025 Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 100
Long Beach, CA 90806
Phone (559) 249-1867

Organizations & group practices 1

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1104080340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 MORNINGSIDE ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074874",
            "telephone_number": "310-463-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661560",
            "telephone_number": "909-623-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHME",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.