Individual provider Active NPI

Brianna Kaylan Young

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1710496104
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125597 Issued in CA
Practice address
1125 W 6TH St
Los Angeles, CA 90017-1833
Phone
(213) 202-3970
NPI assigned
Sep 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125597 CA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1125 W 6TH St
Los Angeles, CA 90017-1833

Mailing address

1125 W 6TH St
Los Angeles, CA 90017-1833
Phone (213) 202-3970

Other practice location 1

501 N Brookhurst St Ste 320
Anaheim, CA 92801
Phone (714) 490-7711

Other practice location 2

501 N Brookhurst St Ste 320
Anaheim, CA 92801-5204
Phone (714) 490-7711

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

LicenseStateTypeSpecialty
125597CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United American Indian Involvement Inc. CurrentSince Aug 1, 2021 Accepting new patients
Albert Knapp & Associates a Psychological Corporation Past Accepting new patients

Locations

1125 W 6th St
Los Angeles, CA 90017
Phone (213) 202-3970

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710496104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171833",
            "telephone_number": "213-202-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171833",
            "telephone_number": "213-202-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Brookhurst St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92801",
            "country_code": "US",
            "telephone_number": "714-490-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Brookhurst St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015204",
            "country_code": "US",
            "telephone_number": "714-490-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRIANNA",
        "middle_name": "KAYLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125597",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.