Brad Overholser

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT29195 Issued in CA

Practice address

1800 E Lambert Rd Ste 205
Brea, CA 92821-4398

Phone

(714) 600-4226

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brad Overholser Professional name

Medicare fee-for-service enrollment

Enrolled in WY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Park Hospital District

  dba Cody Regional Health

  • Critical Access Hospital
  • Cody, WY
  • NPI 1558351536
  Medicare reassignment NPD
• Cody Regional Health EMS

  • Land Ambulance
  • Cody, WY
  • NPI 1366432197
  NPD
• West Park Hospital District

  • Multi-Specialty Clinic/Center
  • Cody, WY
  • NPI 1477192243
  NPD
• West Park Hospital District

  • Emergency Medicine Physician
  • Basin, WY
  • NPI 1942921937
  NPD

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1184023376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E LAMBERT RD STE 205",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214398",
            "telephone_number": "714-600-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAMBERT RD STE 205",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214398",
            "telephone_number": "714-600-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHOLSER",
        "first_name": "BRAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT29195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "OVERHOLSER",
            "credential": "L.M.F.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Orange County Urgent Care #3, Inc. (MedPost Urgent Care - Brea)
• Wojciech Michael Organistko, LMFT
• Emma Orrin
• Johanna Elena Ortez, LPCC
• Andrea Ortiz
• Sarah Pace
• David Paddison
• Cherry Ann Padua, P.T.
• Sarah Pakzadian
• Mariela Palacios

• Marriage & Family Therapist in Brea, CA
• Providers in Brea, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.