Kaitlyn Brennan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

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

Phone

(530) 626-3105

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• 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)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1114513751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "956650971",
            "telephone_number": "209-768-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MOUNTAIN RANCH RD STE 5",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499782",
            "telephone_number": "530-626-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Court St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "CA",
            "postal_code": "956422162",
            "country_code": "US",
            "telephone_number": "209-257-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle F Blanc, MA
• Elmond Leslie Boire
• Braden Partners LP (Pacific Pulmonary Services)
• Belinda Jennifer Brager, MSN, RN, PHN, CSN
• James Francis Brennan, MD
• Asha Brock, MFT
• Linda Brucklacher, MFT
• Patricia Ann Bruna
• Cynthia Lynn Buetow, LPCC 23558
• Jessica Renee Burke

• Mental Health Counselor in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.