Individual provider Active NPI

Brigid D O'Brien, LPCC/S

  • Mental Health Counselor
  • Westlake, OH
National Provider Identifier
1336279355
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0500626 Issued in OH
Practice address
25000 Center Ridge Rd Ste 6
Westlake, OH 44145-4105
Phone
(440) 892-7034
Fax
(440) 250-9013
NPI assigned
Mar 7, 2007
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 C0500626 OH Primary

Addresses

Primary practice location

25000 Center Ridge Rd Ste 6
Westlake, OH 44145-4105

Mailing address

547 Park Ave
Amherst, OH 44001-2237
Phone (419) 357-0369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C0500626OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1336279355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 PARK AVE",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012237",
            "telephone_number": "419-357-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 CENTER RIDGE RD STE 6",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454105",
            "telephone_number": "440-892-7034",
            "fax_number": "440-250-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BRIGID",
        "middle_name": "D",
        "credential": "LPCC/S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0500626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.