Active NPI
Brianna Lammatao
- Mental Health Counselor
- Spring Valley, CA
National Provider Identifier
1730740283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APCC8479
- Practice address
- 3602 Kenora Dr
Spring Valley, CA 91977-2926 - Phone
- (619) 446-7113
- Fax
- (619) 467-7413
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | APCC8479 | CA | Primary |
Addresses
Primary practice location
3602 Kenora Dr
Spring Valley, CA 91977-2926
Mailing address
3602 Kenora Dr
Spring Valley, CA 91977-2926
Phone (619) 446-7113
Other practice location 1
1202 Morena Blvd
San Diego, CA 92110-3841
Phone (619) 507-9333
Other practice location 2
3665 Kearny Villa Rd Ste 500
San Diego, CA 92123-1953
Phone (858) 576-1700 ext. 3201
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 |
|---|---|---|---|
| APCC8479 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1730740283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 KENORA DR",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919772926",
"telephone_number": "619-446-7113",
"fax_number": "619-467-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 KENORA DR",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919772926",
"telephone_number": "619-446-7113",
"fax_number": "619-467-7413"
}
],
"practiceLocations": [
{
"address_1": "1202 Morena Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921103841",
"country_code": "US",
"telephone_number": "619-507-9333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3665 Kearny Villa Rd Ste 500",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231953",
"country_code": "US",
"telephone_number": "858-576-1700 x3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMMATAO",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC8479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.