Brandon Michelle Laleh Mansouri, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47648 Issued in CA

Practice address

4344 Latham St Ste 110
Riverside, CA 92501-1773

Phone

(716) 259-2779

NPI assigned

Mar 27, 2007

Last updated

Mar 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Brandy Michelle Lahleh Mansouri Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Brandon Mansouri Marriage & Family Therapist, Inc.

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1598337677
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1225156003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8754",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917010754",
            "telephone_number": "909-597-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011773",
            "telephone_number": "716-259-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOURI",
        "first_name": "BRANDON",
        "middle_name": "MICHELLE LALEH",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 49234",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "47684",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandymansouri@therapywithbrandy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "raincrosscounselingservices@gmail.com",
            "address_1": "4344 Latham St Ste 110",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925011773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "MANSOURI",
            "middle_name": "MICHELLE LAHLEH",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Mansaray, RN
• Sitoya Mansell, RDN
• Mansour Tafreshi Chiro Inc
• Nadin Mansour, MD
• Yasser Alaaeldin Mansour
• Shahla Mansouri, FNP.,MSN.,MPH.
• Karen Mansy
• Zdenka Anna Manthei, PHARM.D.
• Alicia Nicole Mantilla
• Kathryn Virginia Mantz, PHD

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, 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 Mar 22, 2020; 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.