ALICIA BRANDT
NPI 1598136392
Marriage & Family Therapist in Culver City, CA

Active since October 19, 2015Opted out of Medicare · through Jan 2, 2028
10833 WASHINGTON BLVD, CULVER CITY, CA 90232(323) 673-1638 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alicia Brandt NPPES

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

ALICIA BRANDT (NPI 1598136392) is an individual marriage & family therapist in Culver City, California, licensed in California (LMFT86666) and active in the NPI registry since October 2015. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1598136392
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameALICIA BRANDT
Location Address10833 WASHINGTON BLVDCulver City, CA 90232-3618
Mailing Address8414 Reading AveLos Angeles, CA 90045-4328 · (323) 309-8233
Sole ProprietorYes
Enumeration DateOctober 19, 2015
Last NPPES UpdateDecember 17, 2015
NPI 1598136392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT86666
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.

10833 WASHINGTON BLVD, Culver City, CA 90232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Alicia Brandt has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
10833 WASHINGTON BLVD
CULVER CITY, CA 90232
Marriage & Family Therapist
10833 WASHINGTON BLVD
CULVER CITY, CA 90232
Marriage & Family Therapist
10833 WASHINGTON BLVD
CULVER CITY, CA 90232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598136392, enumerated as an "individual" on October 19, 2015.

The provider is located at 10833 WASHINGTON BLVD CULVER CITY, CA 90232 and the phone number is (323) 673-1638.

Marriage & Family Therapist with taxonomy code 106H00000X.