Active NPI
John H Brennan IV, M.S.
- Mental Health Counselor
- Ocala, FL
National Provider Identifier
1801015185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MT2850
- Practice address
- 4480 NE 24TH CT
Ocala, FL 34479-8909 - Phone
- (352) 690-7399
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MT2850 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT2850 | FL |
Addresses
Primary practice location
4480 NE 24TH CT
Ocala, FL 34479-8909
Mailing address
4480 NE 24TH CT
Ocala, FL 34479-8909
Phone (352) 690-7399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765168600 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT2850 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1801015185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 NE 24TH CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344798909",
"telephone_number": "352-690-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 NE 24TH CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344798909",
"telephone_number": "352-690-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MT2850",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2850",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765168600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.