Individual provider Active NPI

Carol Ann Bremner-Einsidler, LMFT

  • Marriage & Family Therapist
  • Santee, CA
National Provider Identifier
1952838377
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96645 Issued in CA
Practice address
8772 Cuyamaca St Ste 104
Santee, CA 92071-4207
Phone
(619) 258-6397
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CA
Marriage & Family Therapist 106H00000X 96645 CA Primary

Addresses

Primary practice location

8772 Cuyamaca St Ste 104
Santee, CA 92071-4207

Mailing address

11776 Caminito Corriente
San Diego, CA 92128-4548
Phone (858) 603-5565

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
I20251113003173 CA Practitioner - Marriage and Family Therapist 9739670159 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11776 Caminito Corriente
San Diego, CA 92128-4548
Phone (858) 603-5565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96645CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1952838377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11776 CAMINITO CORRIENTE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284548",
            "telephone_number": "858-603-5565",
            "fax_number": "858-385-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 CUYAMACA ST STE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714207",
            "telephone_number": "619-258-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMNER-EINSIDLER",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.