Individual provider Active NPI

Dashanna Brinson

  • Mental Health Counselor
  • Riverside, CA
National Provider Identifier
1508301334
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75801 Issued in CA
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

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
75801CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Childnet Youth and Family Services, Inc. PastSince Jun 7, 2020 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.

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

Verify at the official NPI Registry.