Active NPI
Tara Anne Brennan, M.S.W.
- Mental Health Counselor
- Marlborough, MA
National Provider Identifier
1073808309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 340 Maple St
Marlborough, MA 01752-3200 - Phone
- (508) 485-9300
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
340 Maple St
Marlborough, MA 01752-3200
Mailing address
PO Box 552
Templeton, MA 01468-0552
Phone (508) 314-2429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003 | Other | MA | BH/SOCIAL SERVICE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1073808309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 552",
"city": "TEMPLETON",
"state": "MA",
"postal_code": "014680552",
"telephone_number": "508-314-2429",
"fax_number": "508-628-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAPLE ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523200",
"telephone_number": "508-485-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "TARA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BH/SOCIAL SERVICE",
"identifier": "1003",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.