Active NPI
Brian Thomas Brentlinger, LPCC
- Mental Health Counselor
- Glencoe, KY
National Provider Identifier
1003319484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 278529
- Practice address
- 113 E Howard Street
Glencoe, KY 41046-0021 - Phone
- (859) 308-2246
- NPI assigned
- Mar 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 278529 | KY | Primary |
Addresses
Primary practice location
113 E Howard Street
Glencoe, KY 41046-0021
Mailing address
PO Box 21
Glencoe, KY 41046-0021
Phone (859) 308-2246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278529 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Stress & Wellness Center, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1003319484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21",
"city": "GLENCOE",
"state": "KY",
"postal_code": "410460021",
"telephone_number": "859-308-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E HOWARD STREET",
"city": "GLENCOE",
"state": "KY",
"postal_code": "410460021",
"telephone_number": "859-308-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENTLINGER",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-13",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "278529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glencoe, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.