Eden J Brenner, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

108036 Issued in MA

Practice address

344 Harvard St
Suite 2
Brookline, MA 02446-2917

Phone

(617) 739-3600

NPI assigned

Sep 3, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1710089289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HARVARD ST",
            "address_2": "STE 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462917",
            "telephone_number": "617-739-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 HARVARD ST",
            "address_2": "SUITE 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462917",
            "telephone_number": "617-739-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "EDEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "108036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Brauer, PH.D., LICSW
• Rachel Iris Brazie
• Carolyn D Brazil
• Faith Wood Breisblatt, MSW, LICSW
• Pamela Elizabeth Brennecke, MA
• Jason Evan Brenner, M.D.
• Karen B Brenner, LICSW, CGP
• Eric Michael Bressler, MD
• Joyce Euphemia Briere, PHYSICAL THERAPIST
• Brigham and Women'S Hospital

• Mental Health Counselor in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.