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ADRIANNE DACIA NEWBERN-BURRELL MFT
NPI 1760378285
Marriage & Family Therapist in San Diego, CA

Active since June 13, 2025PECOS Enrolled
3420 KENYON ST, SAN DIEGO, CA 92110(833) 579-4848(619) 221-6565 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adrianne Dacia Newbern-burrell Mft NPPES

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

ADRIANNE DACIA NEWBERN-BURRELL MFT (NPI 1760378285) is an individual marriage & family therapist in San Diego, California, licensed in California (155537) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760378285
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameADRIANNE DACIA NEWBERN-BURRELLCredential: MFT
Location Address3420 KENYON STSan Diego, CA 92110-5001
Mailing Address8251 Palm StLemon Grove, CA 91945-3328 · (619) 857-2569 · Fax (619) 221-6565
Phone(833) 579-4848
Fax(619) 221-6565
Sole ProprietorNo
Enumeration DateJune 13, 2025
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1760378285 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 · 155537
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.
3420 KENYON ST, San Diego, CA 92110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adrianne Dacia Newbern-burrell Mft 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adrianne Newbern-burrell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forward Wellness Family Therapy, Inc.
87 mi
Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group
NPI 1093398059 (800) 701-0937
Sud Specialty Group - Ca
419 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHANNING GREDVIG LCSW
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (619) 221-6550
MS. ELLEN MICHELE SILVERSTEIN LCSW
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (619) 221-6550
MRS. DENISE COSTA RN
Registered Nurse (Psychiatric/Mental Health, Adult)
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (619) 221-6101
EBONY CHANTAL VAPOREAN-BUSSEY-PAYNE MFT
Marriage & Family Therapist
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (774) 968-0450
MRS. MARY JANE OMENS LCSW
Counselor (Mental Health)
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (619) 221-6101
DR. SHAHIDA PARVEEN M.D
Psychiatric Hospital
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (877) 496-0450
MELISSA HAWTHORNE-CAMPOS LCSW
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (619) 221-6501
KAISER PERMANENTE
Health Maintenance Organization
3420 KENYON ST
SAN DIEGO, CA 92110
San Diego County (619) 221-6107

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 Adrianne Newbern-burrell's NPI number?

The NPI number for Adrianne Newbern-burrell is 1760378285. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Adrianne Newbern-burrell located?

Adrianne Newbern-burrell practices at 3420 Kenyon St, San Diego, CA 92110. The listed phone number is (833) 579-4848.

What is Adrianne Newbern-burrell's specialty?

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

Is Adrianne Newbern-burrell enrolled in Medicare?

Yes. Adrianne Newbern-burrell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adrianne Newbern-burrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrianne Newbern-burrell reassigns Medicare benefits to 2 organizations: Forward Wellness Family Therapy, Inc. (Placentia, CA) and Sud Specialty Group - Ca (Santa Clara, 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 Adrianne Newbern-burrell'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 Adrianne Newbern-burrell was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.