Individual provider Active NPI

Patricia Anne Brannan, L.C.P.C.

  • Mental Health Counselor
  • Glen Burnie, MD
National Provider Identifier
1942494513
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L.C. 1472 Issued in MD
Practice address
122 Langley Rd N Ste a
Glen Burnie, MD 21060-6539
Phone
(410) 222-6780
Fax
(410) 222-6888
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L.C. 1472 MD Primary

Addresses

Primary practice location

122 Langley Rd N Ste a
Glen Burnie, MD 21060-6539

Mailing address

122 Langley Rd N, Suite a
Anne Arundel County Department of Health
Glen Burnie, MD 21060
Phone (410) 222-6780

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

State licenses

LicenseStateTypeSpecialty
L.C. 1472MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1942494513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N, SUITE A",
            "address_2": "ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21060",
            "telephone_number": "410-222-6780",
            "fax_number": "410-222-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606539",
            "telephone_number": "410-222-6780",
            "fax_number": "410-222-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "L.C. 1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.