Active NPI
Anna Brousseau
- Marriage & Family Therapist
- Murrieta, CA
National Provider Identifier
1316502495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97499
- Practice address
- 24977 Washington Ave # K
Murrieta, CA 92562-9832 - Phone
- (951) 677-1470
- NPI assigned
- May 5, 2019
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 97499 | CA | Primary |
Addresses
Primary practice location
24977 Washington Ave # K
Murrieta, CA 92562-9832
Mailing address
43195 Avenida de San Pasqual
Temecula, CA 92592-3121
Phone (702) 379-8846
Other names 1
- Anna Drabicki
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 |
|---|---|---|---|
| 97499 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Family Counseling Center, Inc. | Past | Accepting new patients | |
| Aurora Family Counseling Center | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Murrieta, CA
- NPI 1548594971
-
- Mental Health Counselor
- Murrieta, CA
- NPI 1396935896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1316502495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43195 AVENIDA DE SAN PASQUAL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923121",
"telephone_number": "702-379-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24977 WASHINGTON AVE # K",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629832",
"telephone_number": "951-677-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSEAU",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-05",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "DRABICKI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.