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RACHEL BROUSSEAU
NPI 1639429954
Counselor in Los Angeles, CA

Active since September 13, 2012Opted out of Medicare · through Jan 1, 2028
5849 CROCKER ST, LOS ANGELES, CA 90003(323) 234-4445(323) 234-4477 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 20, 2017 (2 updates tracked since 2017).

About Rachel Brousseau NPPES

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

RACHEL BROUSSEAU (NPI 1639429954) is an individual counselor in Los Angeles, California and active in the NPI registry since September 2012. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1639429954
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameRACHEL BROUSSEAU
Location Address5849 CROCKER STLos Angeles, CA 90003-1311
Mailing Address628 S San Fernando BlvdBurbank, CA 91502-1442 · (626) 460-0570
Phone(323) 234-4445
Fax(323) 234-4477
Sole ProprietorYes
Enumeration DateSeptember 13, 2012
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1639429954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5849 CROCKER ST, Los Angeles, CA 90003
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Secondary Practice Location 1

Location 15849 Crocker StLos Angeles, CA 90003-1311 · Phone (323) 234-4445 ext. 100 · Fax (323) 234-4477

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rachel Brousseau 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

PASHION WILLIAMS
Case Manager/Care Coordinator
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 432-4399
VALERIE GAMBLE
Counselor
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 432-4399
SHARON HERBERT
Case Manager/Care Coordinator
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 234-4445
ISOKE NABAWI
Counselor (Professional)
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 234-4445
GUILLERMO ARMENTA
Case Manager/Care Coordinator
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 948-0444
JOSEPH MICHAEL REMARCKE
Social Worker
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 948-0444
MR. EDWARD VIVERO
Community Health Worker
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 406-5806
REZAL GILLIES
Counselor (Mental Health)
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 234-4445

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 Rachel Brousseau's NPI number?

The NPI number for Rachel Brousseau is 1639429954. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Rachel Brousseau located?

Rachel Brousseau practices at 5849 Crocker St, Los Angeles, CA 90003. The listed phone number is (323) 234-4445.

What is Rachel Brousseau's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Rachel Brousseau enrolled in Medicare?

No. Rachel Brousseau has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rachel Brousseau was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.