Individual provider Active NPI

Sara Brennan, M.ED., LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Corpus Christi, TX
National Provider Identifier
1821345794
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11792 Issued in TX
Practice address
3833 S Staples St Ste N202
Corpus Christi, TX 78411-5219
Phone
(361) 589-1027
Fax
(800) 854-6952
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11792 TX
Professional Counselor 101YP2500X 0017019 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X 11792 TX Primary

Addresses

Primary practice location

3833 S Staples St Ste N202
Corpus Christi, TX 78411-5219

Mailing address

12948 Piano Meadows Dr
Conifer, CO 80433-5014
Phone (361) 589-1027

Other practice location 1

12948 Piano Meadows Dr
Conifer, CO 80433-5014
Phone (361) 589-1027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20240827000043 CO Practitioner - Mental Health Counselor 5597204214 Practice locations: Conifer, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0017019COMDProfessional Counselor
11792TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Council on Alcohol & Drug Abuse Coastal Bend Past Accepting new patients
Council on Alcohol and Drug Abuse - Coastal Bend Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1821345794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12948 PIANO MEADOWS DR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804335014",
            "telephone_number": "361-589-1027",
            "fax_number": "800-854-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S STAPLES ST STE N202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115219",
            "telephone_number": "361-589-1027",
            "fax_number": "800-854-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12948 Piano Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "804335014",
            "country_code": "US",
            "telephone_number": "361-589-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "SARA",
        "credential": "M.ED., LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11792",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017019",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.