Brenda Brison, MED, TCM, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

247787 Issued in KY

Practice address

73 Thompson Poynter Rd Ste a
London, KY 40741-7202

Phone

(606) 687-5912

NPI assigned

Jun 28, 2022

Last updated

Jul 28, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Guided Pathways of Kentucky

  • Case Management Agency
  • Corbin, KY
  • NPI 1558229542
  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1144952250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 CORINTH CEMETERY RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017912",
            "telephone_number": "606-515-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417202",
            "telephone_number": "606-687-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISON",
        "first_name": "BRENDA",
        "credential": "MED, TCM, TCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "247787",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Alexis Brannon, CRNA
• Heather Michelle Bray, PHARMD
• Justin S Bray, O.T
• Marc Briere, MD
• Brightview LLC
• Brock Medical, LLC (First Care Clinics, LLC)
• Dereni Blake Brock, PT
• Jessica Marie Brock, APRN
• Nadine Brock, APRN
• Olivia Anne Brock, CRNA

• Addiction (Substance Use Disorder) Counselor in London, KY
• Providers in London, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.