Active NPI
Kelsey Brennan
- Counselor
- Graham, WA
National Provider Identifier
1194365403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10915 244TH Street CT E
Graham, WA 98338-8900 - Phone
- (360) 878-5458
- NPI assigned
- Jan 14, 2020
- Last updated
- Jan 14, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
10915 244TH Street CT E
Graham, WA 98338-8900
Mailing address
PO Box 1268
Graham, WA 98338-1268
Phone (360) 878-5458
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.kelseybrennan4545@gmail.com | Direct | |
| CONNECT URL | kelseybrennan4545@gmail.com | Direct |
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": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1194365403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1268",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983381268",
"telephone_number": "360-878-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10915 244TH STREET CT E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388900",
"telephone_number": "360-878-5458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "KELSEY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.kelseybrennan4545@gmail.com",
"affiliation": "N",
"endpointDescription": "www.kelseybrennan4545@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10915 244th Street Ct E",
"city": "Graham",
"state": "WA",
"country_code": "US",
"postal_code": "983388900",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kelseybrennan4545@gmail.com",
"affiliation": "N",
"endpointDescription": "kelseybrennan4545@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10915 244th Street Ct E",
"city": "Graham",
"state": "WA",
"country_code": "US",
"postal_code": "983388900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.