Individual provider Active NPI

Brandi Jordan, PHD, LMFT, LAADC

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1316303514
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98831 Issued in CA
Practice address
553 N Mariposa Ave
Los Angeles, CA 90004-2846
Phone
(885) 882-7473
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IMF80642 CA
Marriage & Family Therapist 106H00000X 98831 CA Primary

Addresses

Primary practice location

553 N Mariposa Ave
Los Angeles, CA 90004-2846

Mailing address

PO Box 2128
Yorba Linda, CA 92885-1328
Phone (559) 593-8817

Other practice location 1

27184 Ortega Hwy Ste 202
San Juan Capistrano, CA 92675-5700
Phone (866) 934-4849

Other practice location 2

546 Bernard St
Costa Mesa, CA 92627-2658
Phone (888) 541-3354

Other practice location 3

240 Knox St
Costa Mesa, CA 92627-3742
Phone (888) 541-3654

Other practice location 4

5723 Melrose Ave
Los Angeles, CA 90038-3890
Phone (949) 678-6047

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
IMF80642CAMDAddiction (Substance Use Disorder) Counselor
98831CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ibh CC LLC CurrentSince Mar 30, 2025 Accepting new patients
Arise Treatment Homes LLC CurrentSince Apr 1, 2022 Accepting new patients
Arise Treatment Homes LLC PastSince Aug 18, 2024 Accepting new patients

Locations

5723 Melrose Ave
Los Angeles, CA 90038
Phone (323) 990-8178

Organizations & group practices 3

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1316303514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2128",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928851328",
            "telephone_number": "559-593-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 N MARIPOSA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042846",
            "telephone_number": "885-882-7473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27184 Ortega Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926755700",
            "country_code": "US",
            "telephone_number": "866-934-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 Bernard St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926272658",
            "country_code": "US",
            "telephone_number": "888-541-3354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Knox St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926273742",
            "country_code": "US",
            "telephone_number": "888-541-3654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5723 Melrose Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900383890",
            "country_code": "US",
            "telephone_number": "949-678-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BRANDI",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, LAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "IMF80642",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.