Individual provider Active NPI

Brittin Shalom Palmer, LMFT, LPCC

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1326245622
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49804 Issued in CA
Practice address
1450 10TH St Ste 404
Santa Monica, CA 90401-2831
Phone
(925) 282-1778
NPI assigned
Jun 29, 2007
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1685 CA
Marriage & Family Therapist 106H00000X 49804 CA Primary

Addresses

Primary practice location

1450 10TH St Ste 404
Santa Monica, CA 90401-2831

Mailing address

1450 10TH St Ste 404
Santa Monica, CA 90401-2831

Other practice location 1

51 Industrial Park Way
Weaverville, CA 96093-1640
Phone (530) 623-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250212002872 CA Practitioner - Mental Health Counselor 1254861792
I20250213002023 CA Practitioner - Marriage and Family Therapist 1254861792
I20250506001218 TN Practitioner - Marriage and Family Therapist 1254861792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6800 Poplar Ave
Suite 208
Germantown, TN 38138-7456
Phone (901) 515-6165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49804CAMDMarriage & Family Therapist
1034TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling and Wellness, LLC CurrentSince Dec 24, 2024 Accepting new patients

Locations

6800 Poplar Ave
Ste 208
Memphis, TN 38138
Phone (479) 387-0253

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1326245622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 10TH ST STE 404",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 10TH ST STE 404",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012831",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Industrial Park Way",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "CA",
            "postal_code": "960931640",
            "country_code": "US",
            "telephone_number": "530-623-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRITTIN",
        "middle_name": "SHALOM",
        "name_prefix": "Ms.",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "1685",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.