Active NPI
Breanne Marie Rising, LMFT 128289
- Marriage & Family Therapist
- La Quinta, CA
National Provider Identifier
1568652006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128289
- Practice address
- 78015 Main St Ste 206B
La Quinta, CA 92253-3420 - Phone
- (415) 534-4051
- NPI assigned
- Jul 31, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 128289 | CA | Primary |
Addresses
Primary practice location
78015 Main St Ste 206B
La Quinta, CA 92253-3420
Mailing address
584 Castro St # 3016
San Francisco, CA 94114-2512
Phone (510) 826-3359
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 |
|---|---|---|---|
| 128289 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1568652006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 CASTRO ST # 3016",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142512",
"telephone_number": "510-826-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78015 MAIN ST STE 206B",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922533420",
"telephone_number": "415-534-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISING",
"first_name": "BREANNE",
"middle_name": "MARIE",
"credential": "LMFT 128289",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "128289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.