Active NPI
Donika Tinnette Brown
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1922467984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119355
- Practice address
- 5201 S Vermont Ave
Los Angeles, CA 90037-3527 - Phone
- (323) 751-3026
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100841 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | B09-874-794 | KY | |
| Marriage & Family Therapist | 106H00000X | 119355 | CA | Primary |
Addresses
Primary practice location
5201 S Vermont Ave
Los Angeles, CA 90037-3527
Mailing address
5201 S Vermont Ave
Los Angeles, CA 90037-3527
Phone (323) 559-8935
Other practice location 1
6160 Mission Gorge Rd Ste 100
San Diego, CA 92120-3425
Phone (619) 481-3790
Other practice location 2
1031 25th St
San Diego, CA 92102-2102
Phone (619) 232-4607
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 |
|---|---|---|---|
| 100841 | CA | MD | Marriage & Family Therapist |
| 119355 | CA | MD | Marriage & Family Therapist |
| B09-874-794 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Services LLC | Past | Accepting new patients | |
| Southern California Health & Rehabilitation Program | Past | Accepting new patients | |
| Pathways Community Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1104247659
-
- Community/Behavioral Health Agency
- Tustin, CA
- NPI 1396436077
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922467984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373527",
"telephone_number": "323-559-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373527",
"telephone_number": "323-751-3026"
}
],
"practiceLocations": [
{
"address_1": "6160 Mission Gorge Rd Ste 100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921203425",
"country_code": "US",
"telephone_number": "619-481-3790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1031 25th St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921022102",
"country_code": "US",
"telephone_number": "619-232-4607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DONIKA",
"middle_name": "TINNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2022-07-21",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100841",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "B09-874-794",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.