Elizabeth Bernal, LMFT
Individual provider Active NPI Marriage & Family Therapist · Brea, CA
NPI 1891344784 · NPPES record last updated Jul 5, 2024
Key facts
- NPI
- 1891344784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 132007 (CA)
- Practice address
- 3350 E Birch St Ste 206
Brea, CA 92821-6267 - Phone
- (562) 431-8822
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Coast Psychiatric Associates Inc
Practice addresses (Care Compare)
3350 E Birch St
Suite 206
Brea, CA 92821-6267
Phone (562) 431-8822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716004011 | CA | Practitioner - Marriage and Family Therapist | 7113462961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 132007 | CA | Yes |
Addresses
Primary practice location
3350 E Birch St Ste 206
Brea, CA 92821-6267
Mailing address
3350 E Birch St Ste 206
Brea, CA 92821-6267
Phone (562) 431-8822
Other providers in Brea, CA
- Rocio Bedoy
- Jonathan Bruce Bell
- Beneficial Home Health Services Inc.
- Jennifer Bennett
- Trevor Timothy Bennett
- Emily Berry
- Best Hand Hospice, Inc.
- Beta Caring Hands Hospice Inc
- Brianna Betschel
- Sheena Bhatia
All providers in Brea, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.