Individual provider Active NPI

Michael Joseph Brenneis, LPC, LMFT

  • Marriage & Family Therapist
  • Arlington, VA
National Provider Identifier
1629124177
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000011 Issued in VA
Practice address
46 S Glebe Rd
Suite 103
Arlington, VA 22204-1655
Phone
(703) 521-6004
NPI assigned
Jan 26, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001753 VA
Marriage & Family Therapist 106H00000X 0717000011 VA Primary

Addresses

Primary practice location

46 S Glebe Rd
Suite 103
Arlington, VA 22204-1655

Mailing address

2309 N Kentucky St
Arlington, VA 22205-3222
Phone (703) 534-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2026 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701001753VAMDProfessional Counselor
0717000011VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renascence Center, LLC Marriage & Family Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629124177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 N KENTUCKY ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053222",
            "telephone_number": "703-534-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 S GLEBE RD",
            "address_2": "SUITE 103",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041655",
            "telephone_number": "703-521-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEIS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001753",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.