Active NPI
Breanna Cook
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1467811620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT115818
- Practice address
- 27403 Ynez Rd Ste 204
Temecula, CA 92591-4616 - Phone
- (951) 395-3288
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT115818 | CA | Primary |
Addresses
Primary practice location
27403 Ynez Rd Ste 204
Temecula, CA 92591-4616
Mailing address
1050 La Salle Cir
Corona, CA 92879-7728
Phone (951) 395-3288
Other practice location 1
233 Baseline Rd
LA Verne, CA 91750-2353
Phone (909) 833-2986
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT115818 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outside the Norm Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
27403 Ynez Rd
Ste 204
Temecula, CA 92591
Phone (619) 366-8954
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.
-
dba Empowered and Unapologetic
- Marriage & Family Therapist
- Temecula, CA
- NPI 1700416310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1467811620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LA SALLE CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928797728",
"telephone_number": "951-395-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27403 YNEZ RD STE 204",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914616",
"telephone_number": "951-395-3288"
}
],
"practiceLocations": [
{
"address_1": "233 Baseline Rd",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917502353",
"country_code": "US",
"telephone_number": "909-833-2986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "BREANNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT115818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.