1. Home
  2. Directory
  3. California
  4. Northridge
  5. Clinic Center
  6. NPI Profile

TIA BRISCO, LICENSED MARRIAGE AND FAMILY THERAPY, INC.
NPI 1043840192
Clinic/Center - Adult Mental Health in Northridge, CA

Active since January 16, 2020
17130 DEVONSHIRE ST STE 104A, NORTHRIDGE, CA 91325(661) 675-8756 Get Directions Write a Review

NPPES record last updated: April 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2020, Jan 16, 2020 (2 updates tracked since 2020).

About Tia Brisco, Licensed Marriage And Family Therapy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIA BRISCO, LICENSED MARRIAGE AND FAMILY THERAPY, INC. (NPI 1043840192) is a healthcare organization registered as an adult mental health in Northridge, California and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Palmdale and lists Tia Brisco, Owner, as its authorized official.

NPPES Registry Identity

NPI1043840192
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTIA BRISCO, LICENSED MARRIAGE AND FAMILY THERAPY, INC.
Location Address17130 DEVONSHIRE ST STE 104ANorthridge, CA 91325-1676
Mailing Address17130 Devonshire St Ste 104aNorthridge, CA 91325-1676 · (661) 675-8756
Phone(661) 675-8756
Organization SubpartNo
Authorized OfficialTia BriscoOwner · (661) 675-8756
Enumeration DateJanuary 16, 2020
Last NPPES UpdateApril 25, 20202 updates tracked since enumeration
NPPES CertifiedApril 25, 2020
✔ NPI 1043840192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
17130 DEVONSHIRE ST STE 104A, Northridge, CA 91325
Open in Google Maps ↗

Secondary Practice Location 1

Location 1190 Sierra Ct Ste 326Palmdale, CA 93550-7619 · Phone (661) 675-8756

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANA GUADALUPE CORTEZ
Health Educator
17130 DEVONSHIRE ST STE 104A
NORTHRIDGE, CA 91325
Los Angeles County (747) 300-2191
NORMA HERNANDEZ
Prevention Professional
17130 DEVONSHIRE ST STE 104A
NORTHRIDGE, CA 91325
Los Angeles County (818) 723-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tia Brisco, Licensed Marriage And Family Therapy, Inc.'s NPI number?

The NPI number for Tia Brisco, Licensed Marriage And Family Therapy, Inc. is 1043840192. It was assigned to this organization in the NPPES registry on January 16, 2020.

Where is Tia Brisco, Licensed Marriage And Family Therapy, Inc. located?

Tia Brisco, Licensed Marriage And Family Therapy, Inc. is located at 17130 Devonshire St Ste 104A, Northridge, CA 91325. The listed phone number is (661) 675-8756.

What is Tia Brisco, Licensed Marriage And Family Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Tia Brisco, Licensed Marriage And Family Therapy, Inc. was last updated on April 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.