Mara Jorden Brenner, RN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

STUDENT

Practice address

113 E Bridge St Ste D
Wetumpka, AL 36092-2734

Phone

(334) 782-5565

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mara Roethle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1457092447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BIRCHWOOD LN",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931776",
            "telephone_number": "509-995-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E BRIDGE ST STE D",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360922734",
            "telephone_number": "334-782-5565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992051349",
            "country_code": "US",
            "telephone_number": "509-444-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "MARA",
        "middle_name": "JORDEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61044061",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "ROETHLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blue Ridge Chiropractic, LLC
• Brian Christopher Booth, DPT
• Holly Borntrager, CCC-SLP
• Erin Bradley
• Sarah Joy Bradley, LMFT
• Megan Renee Brown, CRNP
• Stacey Marie Brown, PAC
• Bruno'S Supermarkets, LLC.
• Mary Bryant
• Jill Strickland Buck, RN, IBCLC

• Marriage & Family Therapist in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Marriage & Family Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.