Constance Brennen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000255 Issued in IN

Practice address

2814 Franklin St
Michigan City, IN 46360-6140

Phone

(219) 872-1500

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nasr Psychiatric Services, P.C.

  • Psychiatry Physician
  • Michigan City, IN
  • NPI 1972691152
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679655294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8852",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463618852",
            "telephone_number": "219-872-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606140",
            "telephone_number": "219-872-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEN",
        "first_name": "CONSTANCE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Alan Booth, MD
• Thomas J Bormann, DDS
• Jacob Bowersock
• Holly Bradford, NP
• Mary Ann Brandon, SLP
• Bright View Vision Care LLC
• Brighter Beginnings Counseling, LLC
• Jessica Sophia Bronner, FNP-C
• June Barco Brown, M.D.
• Bruce E. Nagel D.D.S., Inc.

• All providers in Michigan City, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.