Active NPI
Richard Sterling Brennan III, LPC-A
- Mental Health Counselor
- Abilene, TX
National Provider Identifier
1093412264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 89625
- Practice address
- 1674 Pine St
Abilene, TX 79601-3053 - Phone
- (325) 696-0661
- NPI assigned
- Feb 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 89625 | TX | Primary |
Addresses
Primary practice location
1674 Pine St
Abilene, TX 79601-3053
Mailing address
1674 Pine St
Abilene, TX 79601-3053
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 |
|---|---|---|---|
| 89625 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1093412264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 PINE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1674 PINE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796013053",
"telephone_number": "325-696-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "RICHARD",
"middle_name": "STERLING",
"name_suffix": "III",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "89625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.