Active NPI
Edith Fematt Brizuela
- Professional Counselor
- San Diego, CA
National Provider Identifier
1568061703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16597
- Practice address
- 1424 30TH St
San Diego, CA 92154-3421 - Phone
- (619) 565-2650
- NPI assigned
- Oct 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16597 | CA | Primary |
Addresses
Primary practice location
1424 30TH St
San Diego, CA 92154-3421
Mailing address
1982 Kent St
Chula Vista, CA 91913-2703
Phone (619) 519-8980
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 |
|---|---|---|---|
| 16597 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1568061703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1982 KENT ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132703",
"telephone_number": "619-519-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 30TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543421",
"telephone_number": "619-565-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEMATT BRIZUELA",
"first_name": "EDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "16597",
"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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.