Brendan Loughnane McKenna, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

227560 Issued in MA

Practice address

224 Centre St Apt 6
Middleboro, MA 02346-2292

Phone

(860) 420-6701

NPI assigned

Apr 26, 2022

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Meditelecare of Massachusetts, PLLC

  • Clinical Psychologist
  • Boston, MA
  • NPI 1003496506
  Medicare reassignment NPD

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1205570082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CENTRE ST APT 6",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462292",
            "telephone_number": "860-420-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CENTRE ST APT 6",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462292",
            "telephone_number": "860-420-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "BRENDAN",
        "middle_name": "LOUGHNANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "227560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mbo Corporation (Nemasket Healthcare Center)
• Erica Solange McCaffrey
• Sarah May McCaffrey
• Kelli Ann McCarthy
• Jeanne D McDonald
• Marcy McMahon, RN, IBCLC
• Hannah McMorrow
• Kerianne McSolla, PHARMD, RPH
• Bethany Rose Medeiros
• Nicole Mello, MSN, RN

• Counselor in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.