Active NPI
Dashanna Brinson
- Mental Health Counselor
- Riverside, CA
National Provider Identifier
1508301334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75801
- Practice address
- 1950 Market St
Riverside, CA 92501-1720 - Phone
- (951) 530-5900
- Fax
- (951) 530-5945
- NPI assigned
- Jan 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 75801 | CA | |
| Mental Health Counselor | 101YM0800X | 75801 | CA | Primary |
Addresses
Primary practice location
1950 Market St
Riverside, CA 92501-1720
Mailing address
1950 Market St
Riverside, CA 92501-1720
Phone (951) 530-5900
Other practice location 1
710 E 111th Pl
Los Angeles, CA 90059-1518
Phone (323) 233-0425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75801 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childnet Youth and Family Services, Inc. | Past | Accepting new patients | |
| Kedren Community Mental Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1275991465
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1134336811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1508301334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 MARKET ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011720",
"telephone_number": "951-530-5900",
"fax_number": "951-530-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 MARKET ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011720",
"telephone_number": "951-530-5900",
"fax_number": "951-530-5945"
}
],
"practiceLocations": [
{
"address_1": "710 E 111th Pl",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900591518",
"country_code": "US",
"telephone_number": "323-233-0425",
"fax_number": "323-232-2366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINSON",
"first_name": "DASHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "75801",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "75801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.