Jillian C Brentzel, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2165 Wenlok TRL NE
Marietta, GA 30066-4524

Phone

(801) 413-3709

NPI assigned

Nov 17, 2023

Last updated

May 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1619742855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 WENLOK TRL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664524",
            "telephone_number": "801-413-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 WENLOK TRL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664524",
            "telephone_number": "801-413-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTZEL",
        "first_name": "JILLIAN",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW007296",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynore Bray
• Wesley R Bray, MD
• Robin Breault
• Mirian Brenick
• Magen Lee Brennan, PA-C
• Mary Kathryn Breshears, M.S., LPC
• Ryan Edward Breshears, PH.D.
• Donna M Bresnan, D.C.
• Joel Michael Bress, M.D.
• Miles Eli Brett, M.D.

• 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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.