Active NPI
Brian Eugene Lands
- Mental Health Counselor
- Ben Lomond, CA
National Provider Identifier
1922443886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 155 Willowbrook Dr
Ben Lomond, CA 95005-9714 - Phone
- (831) 336-5196
- NPI assigned
- May 6, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
155 Willowbrook Dr
Ben Lomond, CA 95005-9714
Mailing address
155 Willowbrook Dr
Ben Lomond, CA 95005-9714
Phone (831) 336-5196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44AZ | Other | CA | MEDI/CAL PRV NBR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1922443886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WILLOWBROOK DR",
"city": "BEN LOMOND",
"state": "CA",
"postal_code": "950059714",
"telephone_number": "831-336-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WILLOWBROOK DR",
"city": "BEN LOMOND",
"state": "CA",
"postal_code": "950059714",
"telephone_number": "831-336-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDS",
"first_name": "BRIAN",
"middle_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI/CAL PRV NBR",
"identifier": "44AZ",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ben Lomond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.