Shannon R Brennan, LCMHC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19532 Issued in NC

Practice address

7406 Chapel Hill Road
Ste J
Raleigh, NC 27607-5039

Phone

(984) 310-9811

Fax

(919) 573-0438

NPI assigned

Sep 19, 2013

Last updated

Jun 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Professionals PLLC

  • Multi-Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1740634773

  Mental Health

  NPD
• Clara Martin Center

  • Community/Behavioral Health Agency
  • Randolph, VT
  • NPI 1548060015
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1255767497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 CHAPEL HILL ROAD",
            "address_2": "STE J",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075039",
            "telephone_number": "984-310-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 CHAPEL HILL ROAD",
            "address_2": "STE J",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075039",
            "telephone_number": "984-310-9811",
            "fax_number": "919-573-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 Brisbane Woods Way",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275189258",
            "country_code": "US",
            "telephone_number": "984-310-9811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 PINE HAVEN SHORES ROAD #1000A",
            "address_purpose": "LOCATION",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827812",
            "country_code": "US",
            "telephone_number": "984-310-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "LCMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19532",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0081022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Driver Brendle, NP
• Sarah Rose Breneman, CCC-SLP
• Diana Brenish, FNP-C
• Brigid Mary Brennan, DPT
• Laci Ludlum Brennan
• Terry Richard Brenneman, MD
• Amelia Brenner, LCSW
• Tara Faye Brenner, M.D.
• Rachel C Breslin, P.T.
• Michael Bressler

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.