INDA LUCILLE BRINK LMFT - NPI 1730689365 - Marriage & Family Therapist in San Jose, CA

Q: What is Inda Brink's NPI number?

The NPI number for Inda Brink is 1730689365. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Q: What is Inda Brink'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 Inda Brink was last updated on February 20, 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.

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About Inda Lucille Brink Lmft NPPES

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

INDA LUCILLE BRINK LMFT (NPI 1730689365) is an individual marriage & family therapist in San Jose, California, licensed in California (MFC35276) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730689365

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameINDA LUCILLE BRINKCredential: LMFT

Location Address3880 S BASCOM AVE STE 115San Jose, CA 95124-2600

Mailing Address3880 S Bascom Ave Ste 115San Jose, CA 95124-2600 · (408) 351-1044

Phone(408) 351-1044

Sole ProprietorNo

Enumeration DateFebruary 20, 2018

✔ NPI 1730689365 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 · MFC35276

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.

3880 S BASCOM AVE STE 115, San Jose, CA 95124

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inda Lucille Brink Lmft 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 9

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

CHILD & FAMILY COUNSELING GROUP

Marriage & Family Therapist