Shawn Lare Brinkley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102664 Issued in CA

Practice address

18719 Calvert St
Tarzana, CA 91335

Phone

(818) 798-3201

Fax

(747) 225-0696

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Living Loved Pathways to Holistic Healing

  • Marriage & Family Therapist
  • Tarzana, CA
  • NPI 1548877319
  NPD (past)

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1356771430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12334 CARL ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311467",
            "telephone_number": "818-359-6921",
            "fax_number": "747-225-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18719 CALVERT ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-798-3201",
            "fax_number": "747-225-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "SHAWN",
        "middle_name": "LARE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "102664",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian K Greenberg, M.D. Inc
• Brian K. Fenmore, MD Inc
• Alan S Bricklin, M.D.
• Bright Path ABA
• Brightvale Home Health LLC
• Brite Spot Inc.
• Karla Brito
• Robert Mark Brodsky, DPM
• Emmett Everett Brooks Jr.
• Merriel Brooks

• Marriage & Family Therapist in Tarzana, CA
• Providers in Tarzana, 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 Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.