Individual provider Active NPI

Casey Patrick O'Brian, AMFT

  • Mental Health Counselor
  • Red Bluff, CA
National Provider Identifier
1447748264
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
139752 Issued in CA
Practice address
22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone
(530) 528-2342
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SUDCC9692 CA
Mental Health Counselor 101YM0800X 139752 CA Primary

Addresses

Primary practice location

22425 Sunbright Ave
Red Bluff, CA 96080-9741

Mailing address

76 Timberland
Aliso Viejo, CA 92656-2143
Phone (949) 444-2399

Other practice location 1

4120 Birch St Ste 121
Newport Beach, CA 92660-2228
Phone (714) 540-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SUDCC9692CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1447748264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 TIMBERLAND",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562143",
            "telephone_number": "949-444-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 Birch St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602228",
            "country_code": "US",
            "telephone_number": "714-540-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIAN",
        "first_name": "CASEY",
        "middle_name": "PATRICK",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDCC9692",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "139752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.