Crystal Mae Brennan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7441 Issued in MA

Practice address

172 Lafayette St
Salem, MA 01970-4815

Phone

(978) 744-4033

NPI assigned

Oct 29, 2008

Last updated

Aug 25, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• 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

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.

• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Medicare reassignment NPD
• Commonwealth Pathology Partners, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, MA
  • NPI 1114032976
  NPD
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • Psychiatric Hospital Unit
  • Salem, MA
  • NPI 1417972647
  NPD
• Northshore Medical Center

  • Psychiatric Hospital Unit
  • Salem, MA
  • NPI 1528261690
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1790938165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROOSEVELT AVE",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232033",
            "telephone_number": "978-777-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704815",
            "telephone_number": "978-744-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "CRYSTAL",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "7441",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffry B Brand, MD
• Heather Brannelly
• Stephen Brauninger
• Alexandra Bravoco, D.M.D.
• Charles G Brennan, MD
• Samantha Marie Foley Brennan
• Diana Brenner-Miller, M.S. CCC-SLP
• Julie Gale Breskin, PHD
• Lisa K Breslin, LCMT
• Kristin Kathleen Bresnahan

• Mental Health Counselor in Salem, MA
• Providers in Salem, 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 Aug 25, 2010; 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.