MS. BRANDON MICHELLE LALEH MANSOURI M.S. - NPI 1225156003 - Marriage & Family Therapist in Riverside, CA

Q: What is Brandon Mansouri's NPI number?

The NPI number for Brandon Mansouri is 1225156003. It was assigned to this individual provider in the NPPES registry on March 27, 2007. The provider is also known as Ms. Brandy Michelle Lahleh Mansouri M.S..

Q: What is Brandon Mansouri's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Mansouri was last updated on March 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Brandon Michelle Laleh Mansouri M.s. NPPES

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

MS. BRANDON MICHELLE LALEH MANSOURI M.S. (NPI 1225156003) is an individual marriage & family therapist in Riverside, California, licensed in California (47648) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225156003

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. BRANDON MICHELLE LALEH MANSOURICredential: M.S.

Location Address4344 LATHAM ST STE 110Riverside, CA 92501-1773

Mailing AddressPo Box 8754Rancho Cucamonga, CA 91701-0754 · (909) 597-2226

Phone(716) 259-2779

Sole ProprietorNo

Enumeration DateMarch 27, 2007

Last NPPES UpdateMarch 22, 20202 updates tracked since enumeration

NPPES CertifiedMarch 22, 2020

✔ NPI 1225156003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 47648✔ Licensed in CA · IMF 49234

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4344 LATHAM ST STE 110, Riverside, CA 92501

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Other Names 1

Former Name (1)Ms. Brandy Michelle Lahleh Mansouri M.s.

Other Identifiers 1

Other47684CA · Lmft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Brandon Michelle Laleh Mansouri M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DILLON JAMES CROSS LCSW

Social Worker (Clinical)