Individual provider Active NPI

Brandy Reid

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1821591660
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111264 Issued in CA
Practice address
19720 Ventura Blvd Ste C
Woodland Hills, CA 91364-2676
Phone
(818) 804-0322
Fax
(818) 963-8727
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 111264 CA Primary

Addresses

Primary practice location

19720 Ventura Blvd Ste C
Woodland Hills, CA 91364-2676

Mailing address

21000 Plummer St
Chatsworth, CA 91311-4903
Phone (818) 882-6400

Other practice location 1

21000 Plummer St
Chatsworth, CA 91311-4903
Phone (818) 882-6400 ext. 134

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
111264CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peace & Mind Wellness Family Counseling Center Inc Marriage & Family Therapist PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1821591660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 PLUMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114903",
            "telephone_number": "818-882-6400",
            "fax_number": "818-882-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642676",
            "telephone_number": "818-804-0322",
            "fax_number": "818-963-8727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Plummer St",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913114903",
            "country_code": "US",
            "telephone_number": "818-882-6400 x134",
            "fax_number": "818-882-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "BRANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.