Adelina Mehrazarin Brisbois, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

52767 Issued in CA

Practice address

650 Hampshire Rd Ste 104
Westlake Village, CA 91361-2534

Phone

(213) 290-5412

NPI assigned

Oct 30, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Adelina Mehrazarin Brisbois LMFT

  • Marriage & Family Therapist
  • Tarzana, CA
  • NPI 1386026250
  NPD (past) Authorized official
• Engage Psychotherapy, Inc.

  • Community/Behavioral Health Agency
  • Westlake VLG, CA
  • NPI 1154998037
  NPD

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841702842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HAMPSHIRE RD STE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAMPSHIRE RD STE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612534",
            "telephone_number": "213-290-5412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18757 Burbank Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563345",
            "country_code": "US",
            "telephone_number": "213-290-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISBOIS",
        "first_name": "ADELINA",
        "middle_name": "MEHRAZARIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "52767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.