Lisa Brennan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72708 Issued in TX

Practice address

230 N Park Blvd Ste 103
Grapevine, TX 76051-6981

Phone

(817) 653-3663

NPI assigned

Sep 1, 2016

Last updated

Aug 9, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rare Bird Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grapevine, TX
  • NPI 1467914366
  NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1750838314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N KIMBALL AVE STE 221",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926660",
            "telephone_number": "817-653-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N PARK BLVD STE 103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516981",
            "telephone_number": "817-653-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-08-09",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawn Edward Bosley, M.D.
• Dianne Bowers, F.N.P.-BC
• Nadine Bracy, M.A., LPC
• Staci A Braden, PT
• Brennan Riche D.C.
• Brent W. Bost, MD, PA (Brent W. Bost)
• Arika Bright, RBT
• Michael Ryan Briseno, M.D.
• Lucas Brolley
• Brooks Trotter M.D. P.a.

• Professional Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.