Organization Active NPI

Cerebrate, a Licensed Clinical Social Worker Professional Corporation

  • Mental Health Counselor
  • Walnut, CA
National Provider Identifier
1629786322
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CEREBRATE, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Practice address
20651 Golden Springs Dr Ste F3024
Walnut, CA 91789-3866
Phone
(818) 900-4027
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Byron NG, LCSWNPI 1154837078
Title
Ceo
Phone
(818) 900-4027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

20651 Golden Springs Dr Ste F3024
Walnut, CA 91789-3866

Mailing address

20651 Golden Springs Dr Ste F3024
Walnut, CA 91789-3866
Phone (818) 900-4027

National Provider Directory

National Provider Directory

Locations

20651 Golden Springs Dr
Ste F3024
Walnut, CA 91789
Phone (818) 900-4027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1629786322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20651 GOLDEN SPRINGS DR STE F3024",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893866",
            "telephone_number": "818-900-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20651 GOLDEN SPRINGS DR STE F3024",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893866",
            "telephone_number": "818-900-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRATE, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-900-4027",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.