Individual provider Active NPI

Raya Sauerbrun, M.A M.F.T

  • Mental Health Counselor
  • San Fernando, CA
National Provider Identifier
1861547366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC 31396 Issued in CA
Practice address
11273 Laurel Canyon Blvd
San Fernando, CA 91340-4300
Phone
(818) 349-1045
Fax
(818) 361-7727
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC 31396 CA Primary

Addresses

Primary practice location

11273 Laurel Canyon Blvd
San Fernando, CA 91340-4300

Mailing address

10040 Yolanda Ave
Northridge, CA 91324-1538
Phone (818) 349-1045

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
MFC 31396CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861547366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 YOLANDA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241538",
            "telephone_number": "818-349-1045",
            "fax_number": "818-361-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11273 LAUREL CANYON BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404300",
            "telephone_number": "818-349-1045",
            "fax_number": "818-361-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUERBRUN",
        "first_name": "RAYA",
        "name_prefix": "Mrs.",
        "credential": "M.A   M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 31396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.