Active NPI
Robert Paul Brittain, MS, LPCC
- Professional Counselor
- Modesto, CA
National Provider Identifier
1598280869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1231 8TH St Ste 360
Modesto, CA 95354-2235 - Phone
- (209) 765-4691
- NPI assigned
- Aug 8, 2017
- Last updated
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1231 8TH St Ste 360
Modesto, CA 95354-2235
Mailing address
1305 Glenwood Dr
Modesto, CA 95350-3907
Phone (209) 985-9245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 29, 2024 through Sep 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10094 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1598280869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 GLENWOOD DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503907",
"telephone_number": "209-985-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 8TH ST STE 360",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542235",
"telephone_number": "209-765-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTAIN",
"first_name": "ROBERT",
"middle_name": "PAUL",
"credential": "MS, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.