Patricia Dawn Brush, ACSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

100697 Issued in CA

Practice address

10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688

Phone

(209) 223-6412

NPI assigned

Nov 23, 2021

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Amador

  • Community/Behavioral Health Agency
  • Sutter Creek, CA
  • NPI 1205055886
  NPD
• County of Amador

  dba Amador County Behavioral Health SUD

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sutter Creek, CA
  • NPI 1699321752
  NPD
• Yolo Wayfarer Center (Christian Mission)

  dba Fourth and Hope

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
  • NPI 1831543578
  NPD (past)

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1942967096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 4th St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956953501",
            "country_code": "US",
            "telephone_number": "530-405-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "PATRICIA",
        "middle_name": "DAWN",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "100697",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "100697",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Bassard
• Spring Beeman
• Emily Bertram
• Randall Blank
• Christian O'Ryan Breen
• James Burke
• Robert Calandri
• Myra Carreno
• Abraham Cerezo
• Jolie Chain, M.P.H.

• Mental Health Counselor in Sutter Creek, CA
• Providers in Sutter Creek, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.