Individual provider Active NPI

Brent Edward McNamara, MA, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • West Deptford, NJ
National Provider Identifier
1497486237
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00259600 Issued in NJ
Practice address
1 Randolph Rd
West Deptford, NJ 08096-3327
Phone
(856) 693-4699
NPI assigned
Jun 22, 2022
Reactivated
Dec 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00259600 NJ Primary

Addresses

Primary practice location

1 Randolph Rd
West Deptford, NJ 08096-3327

Mailing address

1 Randolph Rd
West Deptford, NJ 08096-3327
Phone (856) 693-4699

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00259600NJMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1497486237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANDOLPH RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963327",
            "telephone_number": "856-693-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDOLPH RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963327",
            "telephone_number": "856-693-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "credential": "MA, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-12-02",
        "certification_date": "2022-06-22",
        "deactivation_date": "2025-10-11",
        "reactivation_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00259600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.