Active NPI
Theresa Brenner-Farrell, LMFT
- Marriage & Family Therapist
- Ventura, CA
National Provider Identifier
1568901130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111434
- Practice address
- 260 Maple CT Ste 250
Ventura
Ventura, CA 93003-3571 - Phone
- (805) 216-2369
- NPI assigned
- Feb 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 111434 | CA | Primary |
| Mental Health Counselor | 101YM0800X | IMF83550 | CA |
Addresses
Primary practice location
260 Maple CT Ste 250
Ventura
Ventura, CA 93003-3571
Mailing address
390 Walnut Dr
Ventura, CA 93003-2054
Phone (805) 216-2369
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 |
|---|---|---|---|
| IMF83550 | CA | MD | Mental Health Counselor |
| 111434 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Together Family Therapy | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Ventura, CA
- NPI 1588018568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1568901130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 WALNUT DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032054",
"telephone_number": "805-216-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 MAPLE CT STE 250",
"address_2": "VENTURA",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033571",
"telephone_number": "805-216-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER-FARRELL",
"first_name": "THERESA",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111434",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF83550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.