Individual provider Active NPI

Michele Senkbile

  • Mental Health Counselor
  • Brea, CA
National Provider Identifier
1942966189
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5497 Issued in CA
Practice address
265 S Randolph Ave
Brea, CA 92821-5754
Phone
(714) 482-3222
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5497 CA Primary

Addresses

Primary practice location

265 S Randolph Ave
Brea, CA 92821-5754

Mailing address

524 Laurel Ave
Brea, CA 92821-6633
Phone (714) 482-3222

Other identifiers 1

IdentifierTypeStateIssuer
5497OtherCALICENSED PROFESSIONAL CLINICAL COUNSELOT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250120000415 CA Practitioner - Mental Health Counselor 0143759217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

265 S Randolph Ave
Suite 140
Brea, CA 92821-5780
Phone (714) 482-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Counseling Mental Health CurrentSince Nov 3, 2024 Accepting new patients
Common Well Care Inc Mental Health CurrentSince Jan 4, 2025 Accepting new patients

Locations

265 S Randolph Ave
Ste 140
Brea, CA 92821
Phone (714) 482-3222

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1942966189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 LAUREL AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216633",
            "telephone_number": "714-482-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S RANDOLPH AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215754",
            "telephone_number": "714-482-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENKBILE",
        "first_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "5497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL CLINICAL COUNSELOT",
            "identifier": "5497",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.