Individual provider Active NPI

Brandi Danae Ducote, LMFT, LAADC-CA, SEP

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1427392182
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
87040 Issued in CA
Practice address
11858 Bernardo Plaza CT Ste 210
San Diego, CA 92128-2411
Phone
(858) 286-8875
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 87040 CA Primary

Addresses

Primary practice location

11858 Bernardo Plaza CT Ste 210
San Diego, CA 92128-2411

Mailing address

11858 Bernardo Plaza CT Ste 210
San Diego, CA 92128-2411
Phone (858) 286-8875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
87040CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Coastal Recovery Centers CurrentSince Jul 1, 2022 Accepting new patients

Locations

1582 W San Marcos Blvd
Ste 301
San Marcos, CA 92078
Phone (619) 807-4336

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1427392182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11858 BERNARDO PLAZA CT STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282411",
            "telephone_number": "858-286-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11858 BERNARDO PLAZA CT STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282411",
            "telephone_number": "858-286-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOTE",
        "first_name": "BRANDI",
        "middle_name": "DANAE",
        "credential": "LMFT, LAADC-CA, SEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.