Active NPI
Brenda McDonald, LMFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1629521869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35349
- Practice address
- 333 15TH St
Santa Monica, CA 90402-2211 - Phone
- (310) 339-2842
- NPI assigned
- Jul 24, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 35349 | CA | |
| Marriage & Family Therapist | 106H00000X | 35349 | CA | Primary |
Addresses
Primary practice location
333 15TH St
Santa Monica, CA 90402-2211
Mailing address
333 15TH St
Santa Monica, CA 90402-2211
Phone (310) 339-2842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 12, 2024 through Jul 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35349 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1629521869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 15TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022211",
"telephone_number": "310-339-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 15TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022211",
"telephone_number": "310-339-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "BRENDA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-24",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "35349",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "35349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.