Active NPI
Rena Jane Brantner, LPC
- Professional Counselor
- Huntsville, AL
National Provider Identifier
1689609588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01227
- Practice address
- 1428 Weatherly Rd SE
Suite 102
Huntsville, AL 35803-1181 - Phone
- (256) 881-0704
- Fax
- (256) 883-7833
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 01227 | AL | Primary |
Addresses
Primary practice location
1428 Weatherly Rd SE
Suite 102
Huntsville, AL 35803-1181
Mailing address
1428 Weatherly Rd SE
Suite 102
Huntsville, AL 35803-1181
Phone (256) 881-0704
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071724 | Other | AL | VALUE OPTIONS PROV |
| 1131460 | Other | AL | CIGNA BEHAV HEALTH |
| 210472 | Other | AL | VALUE BEHAV HEALTH |
| 62 28999 | Other | AL | UBH PROV |
| MAGELLAN | Other | AL | MIS# |
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 |
|---|---|---|---|
| 01227 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine B. Bailey, PH.D., PC | 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.
-
- Clinical Neuropsychologist
- New Smyrna Beach, FL
- NPI 1770819815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689609588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 WEATHERLY RD SE",
"address_2": "SUITE 102",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358031181",
"telephone_number": "256-881-0704",
"fax_number": "256-883-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 WEATHERLY RD SE",
"address_2": "SUITE 102",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358031181",
"telephone_number": "256-881-0704",
"fax_number": "256-883-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTNER",
"first_name": "RENA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "01227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROV",
"identifier": "071724",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAV HEALTH",
"identifier": "1131460",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE BEHAV HEALTH",
"identifier": "210472",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH PROV",
"identifier": "62 28999",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIS#",
"identifier": "MAGELLAN",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.