Individual provider Active NPI

Brigitta M Tedja

  • Marriage & Family Therapist
  • Huntington Beach, CA
National Provider Identifier
1346889565
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116393 Issued in CA
Practice address
18672 Florida St Ste 100
Huntington Beach, CA 92648-1925
Phone
(714) 596-6400
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116393 CA Primary

Addresses

Primary practice location

18672 Florida St Ste 100
Huntington Beach, CA 92648-1925

Mailing address

PO Box 17685
Irvine, CA 92623-7685
Phone (949) 427-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241031003093 CA Practitioner - Marriage and Family Therapist 4385177153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advances in Mental Health and Addictions Treatment IncGroup PAC ID 3173844222, 6 clinicians

Practice addresses (Care Compare)

5199 E Pacific Coast Hwy
Suite 330N
Long Beach, CA 90804-3353
Phone (562) 365-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advances in Mental Health and Addictions Treatment Inc CurrentSince Aug 25, 2024 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Aug 1, 2025 Accepting new patients
Rize Counseling, Inc. Marriage & Family Therapist PastSince Mar 1, 2020 Accepting new patients

Locations

18672 Florida St
Ste 100
Huntington Beach, CA 92648
Phone (714) 596-4705

5199 E Pacific Coast Hwy
Ste 330N
Long Beach, CA 90804
Phone (562) 365-2020

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1346889565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17685",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926237685",
            "telephone_number": "949-427-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481925",
            "telephone_number": "714-596-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDJA",
        "first_name": "BRIGITTA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.