Active NPI
Brenna Beaton
- Marriage & Family Therapist
- Nevada City, CA
National Provider Identifier
1487261251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 153293
- Practice address
- 24077 State Highway 49
Nevada City, CA 95959 - Phone
- (530) 265-9057
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-115751 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 153293 | CA | Primary |
Addresses
Primary practice location
24077 State Highway 49
Nevada City, CA 95959
Mailing address
24077 State Highway 49
Nevada City, CA 95959-8519
Other practice location 1
11600 Eldridge Ave
Sylmar, CA 91342-6506
Phone (818) 686-3000
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 |
|---|---|---|---|
| 153293 | CA | MD | Marriage & Family Therapist |
| RBT-20-115751 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My ABA Services LLC | Behavior Technician | Past | Accepting new patients |
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": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1487261251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24077 STATE HIGHWAY 49",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959598519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24077 STATE HIGHWAY 49",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "95959",
"telephone_number": "530-265-9057"
}
],
"practiceLocations": [
{
"address_1": "11600 Eldridge Ave",
"address_purpose": "LOCATION",
"city": "Sylmar",
"state": "CA",
"postal_code": "913426506",
"country_code": "US",
"telephone_number": "818-686-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEATON",
"first_name": "BRENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-20-115751",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "153293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.