J. Phyllis Brannen, LCSW, CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6239 Issued in FL

Practice address

1503 Pine St
Melbourne, FL 32901-3120

Phone

(321) 953-3225

Fax

(321) 953-3252

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Archway Counseling Center

  dba J. Phyllis Brannen, LCSW, CAP

  • Community/Behavioral Health Agency
  • Melbourne, FL
  • NPI 1639576572
  NPD (past)
• Archway Enterprises, Inc.

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1518041037
  NPD (past)
• J Phyllis Brannen LCSW Cap

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1073762415

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1003993874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SAN JUAN CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355419",
            "telephone_number": "321-255-5426",
            "fax_number": "321-953-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 PINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013120",
            "telephone_number": "321-953-3225",
            "fax_number": "321-953-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "J. PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2553",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Marie Branch, LMHC
• Stephanie Brand, BCBA
• Wayne Scali Brandes, D.O.
• Brent D Brandon, M.D.
• April Branly, APRN
• Christi Braselton
• Joseph Ryan Bratsch, PHARM.D.
• Mary Laycock Bratsen, LCSW, ACSW, DCSW
• James Braun, LMHC
• Mindy Jaree Braun

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.