Active NPI
Veronica Brambila, L THERAPIST
- Marriage & Family Therapist
- Coachella, CA
National Provider Identifier
1255523353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105581
- Practice address
- 49869 Calhoun St Ste D
Coachella, CA 92236-9720 - Phone
- (760) 398-9090
- Fax
- (760) 391-5338
- NPI assigned
- Aug 13, 2007
- Last updated
- May 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A4000907 | CA | |
| Marriage & Family Therapist | 106H00000X | NU | ||
| Marriage & Family Therapist | 106H00000X | 105581 | CA | Primary |
Addresses
Primary practice location
49869 Calhoun St Ste D
Coachella, CA 92236-9720
Mailing address
49869 Calhoun St Ste D
Coachella, CA 92236-9720
Phone (760) 398-9090
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
| License | State | Type | Specialty |
|---|---|---|---|
| A4000907 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 105581 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside County Latino Commission on Alcohol and Drug Abuse Services Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Latino Commission Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indio, CA
- NPI 1477665651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1255523353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49869 CALHOUN ST STE D",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922369720",
"telephone_number": "760-398-9090",
"fax_number": "760-391-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49869 CALHOUN ST STE D",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922369720",
"telephone_number": "760-398-9090",
"fax_number": "760-391-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMBILA",
"first_name": "VERONICA",
"name_prefix": "Ms.",
"credential": "L THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A4000907",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.