Jeffrey Brannan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012574 Issued in GA

Practice address

1355 Terrell Mill Rd SE # 1460
Marietta, GA 30067-5496

Phone

(470) 893-1052

NPI assigned

May 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1538743992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 TANGLEWOOD CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452324",
            "telephone_number": "706-442-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 TERRELL MILL RD SE # 1460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675496",
            "telephone_number": "470-893-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "JEFFREY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Brand, MD
• Alan D Brandis, PH.D.
• Erin Michele Brandow, PA
• Jaclyn Melissa Brandt, DPT
• Melida Brandt
• Lindsay Michele Brannen
• Vilda Stone Brannen, M.S., L.P.C.
• Elissa Darlene Brannon, MSN, FNP-C
• Jean Brannon, L.AC.
• Tainise Brannon

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.