Debra Brunsten, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC34322 Issued in CA

Practice address

1929 Granville Ave
Los Angeles, CA 90025-1805

Phone

(310) 478-0253

NPI assigned

Dec 3, 2014

Sex

Female

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

• Debra R Brunsten Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 19, 2024 through Apr 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1275930471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 GRANVILLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251805",
            "telephone_number": "310-478-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 GRANVILLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251805",
            "telephone_number": "310-478-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSTEN",
        "first_name": "DEBRA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BRUNSTEN",
            "middle_name": "R",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lindsay Brunner, DPT
• Edward H. Brunngraber, MD
• Diana Bruno, M.D.
• Jasmine Bruno
• Lauren Ashley Bruns, SLP
• Andrew Summey Brunswick, M.D.
• Stephanie Brunt, M.S. CCC-SLP
• Castle Michael Brusa, CADC-I
• Christina Brush
• Heather Brusky, D.O.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 3, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.