Annette Garry Brehm, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34005363A Issued in IN

Practice address

615 N 18TH St
Lafayette, IN 47904-3434

Phone

(765) 423-5361

NPI assigned

Jan 4, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Family Services, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, IN
  • NPI 1124420757
  NPD (past)
• Lutheran Services in Iowa, Inc.

  • Social Worker
  • Des Moines, IA
  • NPI 1831278142
  NPD (past)

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1235409459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 18TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043434",
            "telephone_number": "765-423-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 18TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043434",
            "telephone_number": "765-423-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHM",
        "first_name": "ANNETTE",
        "middle_name": "GARRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34005363A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Braswell
• Sandra Michelle Bratton, AU.D
• Rebecca Braughton, MS, APN, CPNP
• Jamie Bray, CST
• William Bray, M.D.
• Joseph W Bremer, MD
• Thomas Francis Brennan, MD
• Alexa Sharon Brenneman, CPNP-PC
• Samantha Jo Brenneman, BA
• Brianna Johnston Counseling

• Mental Health Counselor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.