Brenn Ashton Blaisdell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT150652 Issued in CA

Practice address

5550 Telegraph Rd Ste a
Ventura, CA 93003-4256

Phone

(805) 225-3317

NPI assigned

Apr 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1104614585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3341",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913590341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TELEGRAPH RD STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034256",
            "telephone_number": "805-225-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISDELL",
        "first_name": "BRENN",
        "middle_name": "ASHTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT150652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brina Rylie Blackman
• Debra Gail Blackwell-Schrag, MS, LMFT
• Lynne Blackwell, NP-C
• Clyde Amel Blair III, LMFT
• Shana Danbi Blair
• Debbie Lynn Blaney
• Blayne Robinson Liparoto
• Allison Blaze, M.D.
• Jordan A Bleecker, PA-C
• Blessed Hearts Hospice Care Inc

• Mental Health Counselor in Ventura, CA
• Providers in Ventura, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.