Individual provider Active NPI

Bree Gwinner

  • Mental Health Counselor
  • Santa Cruz, CA
National Provider Identifier
1255000394
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
545 Ocean View Ave
Santa Cruz, CA 95062-3363
Phone
(831) 316-3306
NPI assigned
Sep 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA Primary

Addresses

Primary practice location

545 Ocean View Ave
Santa Cruz, CA 95062-3363

Mailing address

545 Ocean View Ave
Santa Cruz, CA 95062-3363

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

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1255000394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 OCEAN VIEW AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 OCEAN VIEW AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623363",
            "telephone_number": "831-316-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINNER",
        "first_name": "BREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.