Active NPI
Mary Lee Brougher, RTC, CTRS
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1962556985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2121 W Temple St
Los Angeles, CA 90026-4915 - Phone
- (213) 385-5100
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2827-T | CA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2121 W Temple St
Los Angeles, CA 90026-4915
Mailing address
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 385-5100
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 |
|---|---|---|---|
| 2827-T | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1962556985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264915",
"telephone_number": "213-385-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264915",
"telephone_number": "213-385-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHER",
"first_name": "MARY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "RTC, CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "2827-T",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.