Organization Active NPI

Brenneman Counseling and Consulting LLC

Doing business as DBA: Luminous Counseling Services

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1548953573
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRENNEMAN COUNSELING AND CONSULTING LLC
Doing business as
DBA: Luminous Counseling Services
Practice address
500 S Florida Ave
Suite 408
Lakeland, FL 33801
Phone
(863) 274-2501
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Kaylee N Brenneman, ED.S, M.ED., LMHCNPI 1083381651
Title
Owner
Phone
(863) 944-3237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

500 S Florida Ave
Suite 408
Lakeland, FL 33801

Mailing address

500 S Florida Ave
Suite 408
Lakeland, FL 33801
Phone (863) 944-3237

Other names 1

  • DBA: Luminous Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

500 S Florida Ave
Ste 408
Lakeland, FL 33801
Phone (863) 274-2501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1548953573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S FLORIDA AVE",
            "address_2": "SUITE 408",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-944-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S FLORIDA AVE",
            "address_2": "SUITE 408",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-274-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNEMAN COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "BRENNEMAN",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-944-3237",
        "authorized_official_credential": "ED.S, M.ED., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Luminous Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.