Individual provider Active NPI

Erin R Brennan, CPRP

  • Counselor
  • Burnsville, MN
National Provider Identifier
1407110380
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2054860 Issued in MN
Practice address
151 W Burnsville Pkwy
Suite 100
Burnsville, MN 55337-2524
Phone
(952) 564-3000
Fax
(952) 847-4966
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2054860 MN Primary

Addresses

Primary practice location

151 W Burnsville Pkwy
Suite 100
Burnsville, MN 55337-2524

Mailing address

151 W Burnsville Pkwy
Suite 100
Burnsville, MN 55337-2524
Phone (952) 564-3000

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
2054860MNMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1407110380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W BURNSVILLE PKWY",
            "address_2": "SUITE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372524",
            "telephone_number": "952-564-3000",
            "fax_number": "952-847-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W BURNSVILLE PKWY",
            "address_2": "SUITE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372524",
            "telephone_number": "952-564-3000",
            "fax_number": "952-847-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ERIN",
        "middle_name": "R",
        "credential": "CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "2054860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.