Active NPI
Anne Marie Whitaker, LPCC
- Mental Health Counselor
- Brentwood, CA
National Provider Identifier
1740853969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9860
- Practice address
- 735 Garland Way
Brentwood, CA 94513-2637 - Phone
- (703) 868-5161
- NPI assigned
- Jul 24, 2021
- Last updated
- Jul 24, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9860 | CA | Primary |
Addresses
Primary practice location
735 Garland Way
Brentwood, CA 94513-2637
Mailing address
735 Garland Way
Brentwood, CA 94513-2637
Phone (703) 868-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 14, 2024 through Sep 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1740853969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 GARLAND WAY",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132637",
"telephone_number": "703-868-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 GARLAND WAY",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132637",
"telephone_number": "703-868-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "ANNE MARIE",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-24",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "9860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.