Individual provider Active NPI

Mary Cecile Brennan, PH.D., LPCC

  • Professional Counselor
  • Westlake, OH
National Provider Identifier
1376567248
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0002806 Issued in OH
Practice address
24500 Center Ridge Rd
BLDG. 4, Suite 100
Westlake, OH 44145-5601
Phone
(440) 899-1300
Fax
(440) 899-0266
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-0002806 OH Primary

Addresses

Primary practice location

24500 Center Ridge Rd
BLDG. 4, Suite 100
Westlake, OH 44145-5601

Mailing address

1076 Sylvan Ave
Lakewood, OH 44107-1234
Phone (216) 221-2534

Other identifiers 1

IdentifierTypeStateIssuer
2622326MedicaidOH

Other names 1

  • Dr. M. Cecile Brennan Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E-0002806OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Antone F Feo, PHD & Associates Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376567248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 SYLVAN AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071234",
            "telephone_number": "216-221-2534",
            "fax_number": "440-899-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD",
            "address_2": "BLDG. 4, SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455601",
            "telephone_number": "440-899-1300",
            "fax_number": "440-899-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MARY",
        "middle_name": "CECILE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0002806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "BRENNAN",
            "middle_name": "CECILE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 9, 2007; 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.