Brenda James Brannon, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007426 Issued in GA

Practice address

500 Lanier Ave W
Magnolia Office Park, Suite 606a Office # 7
Fayetteville, GA 30214-7636

Phone

(770) 719-5467

Fax

(770) 719-5468

NPI assigned

Aug 12, 2013

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

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.

• A New Beginning for Families Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, GA
  • NPI 1538621602
  NPD (past) Authorized official
• Touch of Healing Counseling Services LLC

  • Mental Health Counselor
  • Griffin, GA
  • NPI 1972668127

  Professional

  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1801229067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N ALEXANDER CREEK RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302633577",
            "telephone_number": "770-719-5467",
            "fax_number": "770-719-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W",
            "address_2": "MAGNOLIA OFFICE PARK, SUITE 606A OFFICE # 7",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "770-719-5467",
            "fax_number": "770-719-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "BRENDA",
        "middle_name": "JAMES",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Bradley, LPC, NCC, MAC,
• Anthony Joseph Braim, PT, MPT
• Brainthrive
• Karen M Brancewicz, PAC
• Sharon Branch, PT
• BRC Medhealth LLC
• Breaking the Chains, Inc
• Jessica Nicole Breaux, NP
• Maude Breaux
• Avery Lawyer Brewer, MS, LPC

• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.