Active NPI
Antinika Braswell
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1548620859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 995 Gateway Center Way
Suite 300
San Diego, CA 92102-4500 - Phone
- (619) 398-2156
- NPI assigned
- Feb 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
995 Gateway Center Way
Suite 300
San Diego, CA 92102-4500
Mailing address
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Other practice location 1
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Phone (619) 481-5200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1548620859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 MISSION GORGE RD STE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921203425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 GATEWAY CENTER WAY",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024500",
"telephone_number": "619-398-2156"
}
],
"practiceLocations": [
{
"address_1": "6160 Mission Gorge Rd Ste 108",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921203425",
"country_code": "US",
"telephone_number": "619-481-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRASWELL",
"first_name": "ANTINIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.