Active NPI
Bonnie M Brennan, MA, LPC, CEDS
- Professional Counselor
- Golden, CO
National Provider Identifier
1346337276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2639
- Practice address
- 607 10TH St Ste 104
Golden, CO 80401-1053 - Phone
- (720) 663-8699
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2639 | CO | Primary |
Addresses
Primary practice location
607 10TH St Ste 104
Golden, CO 80401-1053
Mailing address
25587 Conifer Rd Ste 105-115
Conifer, CO 80433-9067
Phone (720) 663-8699
Other practice location 1
11848 Black Hawk Dr
Conifer, CO 80433-7107
Phone (303) 512-3665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 29, 2024 through May 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2639 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1346337276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25587 CONIFER RD STE 105-115",
"city": "CONIFER",
"state": "CO",
"postal_code": "804339067",
"telephone_number": "720-663-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 10TH ST STE 104",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011053",
"telephone_number": "720-663-8699"
}
],
"practiceLocations": [
{
"address_1": "11848 Black Hawk Dr",
"address_purpose": "LOCATION",
"city": "Conifer",
"state": "CO",
"postal_code": "804337107",
"country_code": "US",
"telephone_number": "303-512-3665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNAN",
"first_name": "BONNIE",
"middle_name": "M",
"credential": "MA, LPC, CEDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.