Active NPI
Brittany Elizabeth Rose, LMFT
- Marriage & Family Therapist
- Modesto, CA
National Provider Identifier
1891046512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97124
- Practice address
- 1015 12TH St Ste 11
Modesto, CA 95354-0838 - Phone
- (209) 546-6511
- NPI assigned
- Sep 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 97124 | CA | Primary |
Addresses
Primary practice location
1015 12TH St Ste 11
Modesto, CA 95354-0838
Mailing address
5960 S Land Park Dr
PMB 823
Sacramento, CA 95822
Phone (916) 202-2666
Other practice location 1
1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 558-4600
Other names 1
- Brittany Elizabeth Rushin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 97124 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1891046512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 S LAND PARK DR",
"address_2": "PMB 823",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95822",
"telephone_number": "916-202-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 12TH ST STE 11",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540838",
"telephone_number": "209-546-6511"
}
],
"practiceLocations": [
{
"address_1": "1904 Richland Ave",
"address_purpose": "LOCATION",
"city": "Ceres",
"state": "CA",
"postal_code": "953074562",
"country_code": "US",
"telephone_number": "209-558-4600",
"fax_number": "209-541-2549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "BRITTANY",
"middle_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "RUSHIN",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.