Dara Michelle Brenner, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11381 Issued in MA

Practice address

66 Commonwealth Ave
Concord, MA 01742-2974

Phone

(786) 351-3381

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1194368902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COMMONWEALTH AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422974",
            "telephone_number": "786-351-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Newbury St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162912",
            "country_code": "US",
            "telephone_number": "786-351-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "DARA",
        "middle_name": "MICHELLE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dara@amplifyingperformance.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "137 Newbury St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021162912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriel Janeen Breault, LIC.AC.
• Rebecca Bregman
• Jaime Lyn Breingan, RN
• Kaitlyn Patricia Brennan, NP-C
• Kimberly A Brennan, D.O.
• Patricia Brentani, MSW
• Brian H. Miller
• Bridgecare Provider Group Ma, PLLC
• Bright Steps ABA Corp
• Diane Thilk Briner, RPH

• Mental Health Counselor in Concord, MA
• Providers in Concord, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.