Individual provider Active NPI

Brittany Davis-Brentum, LPC, NCC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1669070579
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010018 Issued in GA
Practice address
10 Park Place South SE
Atlanta, GA 30303-2913
Phone
(404) 616-4444
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC010018 GA Primary

Addresses

Primary practice location

10 Park Place South SE
Atlanta, GA 30303-2913

Mailing address

10 Park Place South SE
Atlanta, GA 30303-2913
Phone (404) 616-4444

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bdavisbrentu@gmh.edu Direct

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

LicenseStateTypeSpecialty
LPC010018GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1669070579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE SOUTH SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032913",
            "telephone_number": "404-616-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE SOUTH SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032913",
            "telephone_number": "404-616-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-BRENTUM",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bdavisbrentu@gmh.edu",
            "affiliation": "N",
            "endpointDescription": "Company email accounts",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Park Place South SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303032913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.