John Brennenstuhl

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9154 Issued in MA

Practice address

100 Cummings Ctr Ste 438Q
Beverly, MA 01915-6122

Phone

(978) 876-9344

Fax

(978) 473-7532

NPI assigned

Oct 29, 2008

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• New Life Consulting & Counseling, LLC

  • Mental Health Counselor
  • Beverly, MA
  • NPI 1912662537
  NPD Authorized official

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1851544332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 438Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "978-876-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 438Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "978-876-9344",
            "fax_number": "978-473-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNENSTUHL",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Brea
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• Fiona Mary Breslin, MD
• Jennifer Lyn Brewer
• Tess Alexandra Brickley, CNM, WHNP
• James Patrick Brickman, C.R.N.A.
• Rebecca Bridger

• Mental Health Counselor in Beverly, MA
• Providers in Beverly, 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 Oct 13, 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.