Bernadette L. Brennecke, LCSW, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC 37681 Issued in CA

Legal business name

BERNADETTE L. BRENNECKE, LCSW, INC.

Practice address

4574 Live Oak Canyon Road
La Verne, CA 91750

Phone

(909) 263-0851

Fax

(626) 338-9022

NPI assigned

Apr 1, 2010

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Petropoulos, LMFTNPI 1649327842

Title

Owner/Therapist

Phone

(909) 263-0934

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greg Petropoulos, LMFT

  • Marriage & Family Therapist
  • La Verne, CA
  • NPI 1649327842
  NPD Authorized official
• Bernadette Leilani Brennecke, LSCW

  • Clinical Social Worker
  • La Verne, CA
  • NPI 1275756017
  NPD

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1902121940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. SUNSET AVE",
            "address_2": "SUITE 102",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "909-263-0851",
            "fax_number": "626-338-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 LIVE OAK CANYON ROAD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "91750",
            "telephone_number": "909-263-0851",
            "fax_number": "626-338-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE L. BRENNECKE, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "PETROPOULOS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "909-263-0934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 37681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo Becerra Loera
• Christine Benavidez
• Valerie Stephanie Bendana, COTA
• Danielle Bennett
• Jacqueline L Bennett, RD
• Elijah Elias Bernal, RPH
• Krupa Bhakta
• Vipul Bhavani, PHARMD
• Elizabeth Ellen Blackstock, OTR/L
• Jamie Blanco

• Mental Health Counselor in La Verne, CA
• Providers in La Verne, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.