Individual provider Active NPI

Anne T. Brenkert, MS,

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1235217183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001755-1 Issued in NY
Practice address
1670 E 17TH St # 78
Brooklyn, NY 11229-1258
Phone
(718) 375-1200
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001755-1 NY Primary

Addresses

Primary practice location

1670 E 17TH St # 78
Brooklyn, NY 11229-1258

Mailing address

10 Lamplighter LN Apt 4a
Massapequa, NY 11758-5617
Phone (516) 797-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240118001922 NY Practitioner - Mental Health Counselor 9335591049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001755-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Dec 14, 2023 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Dec 14, 2023 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235217183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAMPLIGHTER LN APT 4A",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585617",
            "telephone_number": "516-797-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E 17TH ST # 78",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291258",
            "telephone_number": "718-375-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENKERT",
        "first_name": "ANNE",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "MS,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001755-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.