Broussard Marriage & Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BROUSSARD MARRIAGE & FAMILY THERAPY INC

Practice address

41661 Enterprise Cir N Ste 111
Temecula, CA 92590-5629

Phone

(619) 607-1234

Fax

(951) 527-1401

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Susan Ann Broussard, LMFTNPI 1003946500

Title

Ceo

Phone

(619) 607-1234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Ann Broussard, M.A

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1003946500
  Medicare reassignment NPD Authorized official
• Susan Lianne Elliott, APCC

  • Professional Counselor
  • Temecula, CA
  • NPI 1558117531
  NPD
• Taylor D Johnson, AMFT

  • Mental Health Counselor
  • Temecula, CA
  • NPI 1750139713

  Single Specialty

  NPD
• Maricela Rees, AMFT/APCC

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1477289890
  NPD
• Nicole M Brittsan, LMFT,APCC

  • Marriage & Family Therapist
  • El Segundo, CA
  • NPI 1447983119
  NPD (past)
• Flor Valente

  • Marriage & Family Therapist
  • Moreno Valley, CA
  • NPI 1356887483
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1285384636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29042 SILVERDALE LN",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969616",
            "telephone_number": "619-607-1234",
            "fax_number": "951-527-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41661 ENTERPRISE CIR N STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905629",
            "telephone_number": "619-607-1234",
            "fax_number": "951-527-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD MARRIAGE & FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-607-1234",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Briones
• Lisa Bronson
• Joshua Cushing Brooks, MD
• Linda Marie Brooks, MFT
• Rylee Brooksby
• Indiana Brown-Rivas
• Alonzo Leo Brown
• Brianna Nichole Brown
• Delacy Brown
• Jaelyn C Brown, BT

• Marriage & Family Therapist in Temecula, CA
• Providers in Temecula, 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 Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.