Individual provider Active NPI

Brandi Sue Juarez, M.A. LMFT

  • Marriage & Family Therapist
  • Carmichael, CA
National Provider Identifier
1225375397
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86121 Issued in CA
Practice address
8037 Fair Oaks Blvd Ste 110
Carmichael, CA 95608-6742
Phone
(916) 206-7784
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 71187 CA
Marriage & Family Therapist 106H00000X 86121 CA Primary

Addresses

Primary practice location

8037 Fair Oaks Blvd Ste 110
Carmichael, CA 95608-6742

Mailing address

3929 Hillgrove Way
Carmichael, CA 95608-2803
Phone (916) 206-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86121CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandi Juarez Family Therapy, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

8037 Fair Oaks Blvd
Ste 110
Carmichael, CA 95608
Phone (916) 206-7784

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": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1225375397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 HILLGROVE WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082803",
            "telephone_number": "916-206-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 FAIR OAKS BLVD STE 110",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086742",
            "telephone_number": "916-206-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "BRANDI",
        "middle_name": "SUE",
        "credential": "M.A.  LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "71187",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.