Brianna Nicole Farnam

Individual provider Active NPI Marriage & Family Therapist · Alpine, CA

NPI 1891367587 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1891367587
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
4058 Willows Rd
Alpine, CA 91901-1668
Phone
(619) 445-1188
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indian Health Council Current
since Nov 5, 2024
Accepting new patients
Southern Indian Health Council Current Accepting new patients

Locations

4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188

36350 Church Rd
Campo, CA 91906
Phone (619) 445-1188

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

4058 Willows Rd
Alpine, CA 91901-1668

Mailing address

4058 Willows Rd
Alpine, CA 91901-1668

Other providers in Alpine, CA

All providers in Alpine, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.