Active NPI
Joanne Brennan, LAADC
- Addiction (Substance Use Disorder) Counselor
- Santa Ana, CA
National Provider Identifier
1558023853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LR0250315
- Practice address
- 2750 S Harbor Blvd Ste G
Santa Ana, CA 92704-5820 - Phone
- (866) 746-1558
- NPI assigned
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LR0250315 | CA | Primary |
Addresses
Primary practice location
2750 S Harbor Blvd Ste G
Santa Ana, CA 92704-5820
Mailing address
2750 S Harbor Blvd Ste G
Santa Ana, CA 92704-5820
Phone (866) 746-1558
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LR0250315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Roads Recovery Services for Women, LLC | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Costa Mesa, CA
- NPI 1952811978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1558023853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 S HARBOR BLVD STE G",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045820",
"telephone_number": "866-746-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S HARBOR BLVD STE G",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045820",
"telephone_number": "866-746-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JOANNE",
"credential": "LAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LR0250315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.