Organization Active NPI

Fueling Your Brain Family Counseling

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1164214458
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FUELING YOUR BRAIN FAMILY COUNSELING
Practice address
567 W Lancaster Blvd Unit 10013
Lancaster, CA 93584-7060
Phone
(818) 869-0029
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Portia ReddyNPI 1912588492
Title
Ceo
Phone
(818) 869-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

567 W Lancaster Blvd Unit 10013
Lancaster, CA 93584-7060

Mailing address

567 W Lancaster Blvd Unit 10013
Lancaster, CA 93584-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251125001915 CA Part B Supplier - Clinic/Group Practice 3476045667 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Locations

567 W Lancaster Blvd
Unit 10013
Lancaster, CA 93584
Phone (818) 869-0029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1164214458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 W LANCASTER BLVD UNIT 10013",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935847060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 W LANCASTER BLVD UNIT 10013",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935847060",
            "telephone_number": "818-869-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUELING YOUR BRAIN FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-869-0029"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.