Individual provider Active NPI

Rebecca Brennan, M.A.

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1245584259
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1235 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-3581
Phone
(719) 510-0624
Fax
(719) 576-0298
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1235 Lake Plaza Dr Ste 125
Colorado Springs, CO 80906-3581

Mailing address

108 E Cheyenne Rd Ste 207
Colorado Springs, CO 80906-2535
Phone (719) 510-0624

Other practice location 1

1864 Woodmoor Dr Ste 202
Monument, CO 80132-7464
Phone (719) 510-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240603001625 CO Practitioner - Marriage and Family Therapist 6507308848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1235 Lake Plaza Dr
Suite 130
Colorado Springs, CO 80906-3581
Phone (719) 357-6175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monumental Therapy Group PLLC Marriage & Family Therapist CurrentSince May 18, 2024 Accepting new patients
Monumental Therapy Group PLLC Past Accepting new patients
Monumental Therapy Group PLLC Marriage & Family Therapist Past Accepting new patients

Locations

1235 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 357-6175

1235 Lake Plaza Dr
Ste 125
Colorado Springs, CO 80906
Phone (719) 357-6175

1864 Woodmoor Dr
Ste 202
Monument, CO 80132
Phone (719) 482-6978

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1245584259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E CHEYENNE RD STE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062535",
            "telephone_number": "719-510-0624",
            "fax_number": "719-487-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063581",
            "telephone_number": "719-510-0624",
            "fax_number": "719-576-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1864 Woodmoor Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801327464",
            "country_code": "US",
            "telephone_number": "719-510-0624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "REBECCA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.