Brenda Lynne Menchaca Stephens, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4366 Issued in CA

Practice address

8775 Aero Dr Ste 240
San Diego, CA 92123-1756

Phone

(619) 304-4852

Fax

(888) 337-3402

NPI assigned

Jul 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Stephens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

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

• The Trauma Recovery Collaborative LPCC Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1144188962
  NPD Authorized official
• Stephens Therapy Associates, Inc.

  • Professional Counselor
  • San Diego, CA
  • NPI 1952874042
  NPD (past) Authorized official

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1740419316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "619-304-4852",
            "fax_number": "888-337-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "619-304-4852",
            "fax_number": "888-337-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Deerwood Park Blvd",
            "address_2": "Building 200 Suite 250",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32256",
            "country_code": "US",
            "telephone_number": "904-337-9365",
            "fax_number": "888-337-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRENDA",
        "middle_name": "LYNNE MENCHACA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "STEPHENS",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Ledell Stephen Jr., RADT
• Stephens Dental
• Stephens Therapy Associates, Inc.
• Andrea B.D. Stephens, PA-C
• Bona Dhea Moana Castillo Stephens, NP-BC
• Heather L. Stephens, PSY.D.
• James Alan Stephens, MA
• Kimberly Stephens
• Leah Marie Stephens, DC
• Lena Grace Stephens

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.