BREYON CLEMMONS
NPI 1821581240
Marriage & Family Therapist in San Bernardino, CA
About Breyon Clemmons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREYON CLEMMONS (NPI 1821581240) is an individual marriage & family therapist in San Bernardino, California, licensed in California (137097) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
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 (PECOS)
Breyon Clemmons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Breyon Clemmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ontario, CA 91761
- Reassigned Medicare billing, California enrollment
- 11 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.
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.
SAN BERNARDINO, CA 92401
SAN BERNARDINO, CA 92401
SAN BERNARDINO, CA 92401
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 Breyon Clemmons's NPI number?
The NPI number for Breyon Clemmons is 1821581240. It was assigned to this individual provider in the NPPES registry on June 11, 2018.
Where is Breyon Clemmons located?
Breyon Clemmons practices at 290 N D St Ste 700, San Bernardino, CA 92401. The listed phone number is (909) 963-5355.
What is Breyon Clemmons's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Breyon Clemmons enrolled in Medicare?
Yes. Breyon Clemmons is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Breyon Clemmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breyon Clemmons reassigns Medicare benefits to Marsell Wellness Center (Ontario, CA). The 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 Breyon Clemmons'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 Breyon Clemmons was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Breyon Clemmons · NPI 1821581240
Marriage & Family Therapist provider in San Bernardino, California. Individual provider, active in the CMS NPPES registry since June 11, 2018.
## Identity
- **NPI:** 1821581240 (Entity type: Individual)
- **Enumerated:** June 11, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 137097 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 290 N D ST STE 700, San Bernardino, CA 92401-1705
- **Phone:** (909) 963-5355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Marsell Wellness Center (NPI 1700597036, Ontario, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821581240) · Data from the CMS NPPES public registry.