Active NPI
Kirsten B Brannen, MS
- Counselor
- Plymouth Meeting, PA
National Provider Identifier
1548080914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3031-A Walton Rd
Suite 300
Plymouth Meeting, PA 19462 - Phone
- (267) 669-0300
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3031-A Walton Rd
Suite 300
Plymouth Meeting, PA 19462
Mailing address
413 Station Square Boulevard
Lansdale, PA 19446
Phone (484) 844-2113
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethos Treatment LLC | Current | Accepting new patients |
Locations
3031A Walton Rd
Ste 300
Plymouth Meeting, PA 19462
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- West Chester, PA
- NPI 1306359906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1548080914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 STATION SQUARE BOULEVARD",
"city": "LANSDALE",
"state": "PA",
"postal_code": "19446",
"telephone_number": "484-844-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031-A WALTON RD",
"address_2": "SUITE 300",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "267-669-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNEN",
"first_name": "KIRSTEN",
"middle_name": "B",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.