Individual provider Active NPI

Brandi Lee Scott, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1396993242
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC44167 Issued in CA
Practice address
9500 Etiwanda Ave.
Rancho Cucamonga, CA 91739
Phone
(909) 463-5101
Fax
(909) 463-5233
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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 MFC44167 CA Primary

Addresses

Primary practice location

9500 Etiwanda Ave.
Rancho Cucamonga, CA 91739

Mailing address

9500 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662
Phone (909) 463-5101

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
I20241227002525 CA Practitioner - Mental Health Counselor 1951838275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC44167CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counseling Services Licensed Clinical Social Worker Inc Marriage & Family Therapist CurrentSince Oct 18, 2024 Accepting new patients

Locations

6840 Indiana Ave
Ste 275
Riverside, CA 92506
Phone (951) 778-0230

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1396993242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ETIWANDA AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399662",
            "telephone_number": "909-463-5101",
            "fax_number": "909-463-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ETIWANDA AVE.",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91739",
            "telephone_number": "909-463-5101",
            "fax_number": "909-463-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.