Brenna Osullivan Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRENNA OSULLIVAN COUNSELING LLC

Practice address

125 Forest Ave
Suite 10956
Portland, ME 04104-4919

Phone

(207) 820-2544

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brenna O'Sullivan, LCPCNPI 1588256333

Title

Owner

Phone

(207) 820-2544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenna Marie O'Sullivan, LCPC-C

  • Mental Health Counselor
  • Portland, ME
  • NPI 1588256333
  NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1386416113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOREST AVE",
            "address_2": "SUITE 10956",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041044919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FOREST AVE",
            "address_2": "SUITE 10956",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041044919",
            "telephone_number": "207-820-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNA OSULLIVAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-820-2544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Breglio, MD
• Kimberly Frances Breglio, MD
• Max Walter Breidenstein, MD
• Katarina C Brekke, CRNA
• Brendan Lee DCPC
• Kathleen Elizabeth Brennan, M.D.
• Leonard Joseph Brennan, DMD
• Mary J Brennan, APRN-BC
• Norah Brennan
• Stacy Brenner, CNM

• Community/Behavioral Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.