DR. BRIAN LICUANAN PHD
NPI 1508241779
Psychologist - Counseling in Irvine, CA
About Dr. Brian Licuanan Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN LICUANAN PHD (NPI 1508241779) is an individual counseling provider in Irvine, California, licensed in California (27276) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brian Licuanan Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Brian Licuanan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mariposa, CA 95338
- Reassigned Medicare billing, California enrollment
- 20 clinicians in this Medicare group
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 100 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Telemedicine Group PC
- 205 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Brian Licuanan's NPI number?
The NPI number for Brian Licuanan is 1508241779. It was assigned to this individual provider in the NPPES registry on July 29, 2015.
Where is Brian Licuanan located?
Brian Licuanan practices at 17 Herringbone, Irvine, CA 92620. The listed phone number is (714) 469-1418.
What is Brian Licuanan's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Brian Licuanan enrolled in Medicare?
Yes. Brian Licuanan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brian Licuanan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Licuanan reassigns Medicare benefits to 3 organizations: John C Fremont Healthcare District (Mariposa, CA), Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA) and Telehealth Specialty Medical Group (Roseville, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Licuanan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brian Licuanan was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.