Kaitlyn Brennan – Mental Health Counselor

Key facts

NPI: 1114513751
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 564 Mountain Ranch Rd Ste 5
San Andreas, CA 95249-9782
Phone: (530) 626-3105
NPI assigned: Dec 17, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Sierra Child & Family Services Community/Behavioral Health Agency · San Andreas, CA · NPI 1326647686

NPD
Sierra Child & Family Services Community/Behavioral Health Agency · Jackson, CA · NPI 1487053542

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Sierra Child & Family Services		Current since Dec 22, 2020	Accepting new patients
Sierra Child & Family Services		Past	Accepting new patients

Locations

564 Mountain Ranch Rd
Ste 5
San Andreas, CA 95249
Phone (209) 498-2227

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

564 Mountain Ranch Rd Ste 5
San Andreas, CA 95249-9782

Mailing address

PO Box 971
Pine Grove, CA 95665-0971
Phone (209) 768-9173

Other practice location 1

601 Court St Ste 100
Jackson, CA 95642-2162
Phone (209) 257-1244

Other providers in San Andreas, CA

Gayle F Blanc, MA
Elmond Leslie Boire
Braden Partners LP
Belinda Jennifer Brager, MSN, RN, PHN, CSN
James Francis Brennan, MD
Asha Brock, MFT
Linda Brucklacher, MFT
Patricia Ann Bruna
Cynthia Lynn Buetow, APPC
Jessica Renee Burke

All providers in San Andreas, CA · Mental Health Counselor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.