DARA MICHELLE BRENNER


Address: 66 Commonwealth Ave, Concord, MA 01742-2974
Phone: 7863513381

DARA MICHELLE BRENNER (NPI# 1194368902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194368902
Entity Type Individual
Full Name DARA MICHELLE BRENNER
Credential MA, LMHC
Practice Address 66 Commonwealth Ave
Concord
MA 01742-2974
Mailing Address 137 Newbury St
Boston
MA 02116-2912
Practice Telephone 7863513381
Enumeration Date 2019-10-24
Last Update Date 2019-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
11381 MA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
137 Newbury St, Boston, MA 021162912 7863513381

Office Location

Street Address 66 COMMONWEALTH AVE
City CONCORD
State MA
Zip Code 01742-2974

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1316422983 Lisa Colagiovanni Social Worker 54 Hillside Ave., Concord, MA 01742 2018-09-30
1932699907 Margaret C O'hearn-curran Psychologist 178 Silver Hill Rd, Concord, MA 01742 2018-05-15
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1255882684 Stephanie Randazzo Counselor 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 2016-10-20
1871943704 Marjorie E. Cahn Social Worker 634 Walden Street, Concord, MA 01742 2016-06-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245844273 Michael Frost Lynch Counselor 23 Crest St, Concord, MA 01742-3006 2020-09-08
1487263281 Tara Burgess Counselor 357 Nashawtuc Rd, Concord, MA 01742-1616 2020-07-28
1245861533 Christine Marie Perez Counselor 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 2020-01-27
1649814104 Live Your Life Clt Counseling Pllc Counselor 185 Church St Ne, Concord, NC 28025-4761 2019-10-28
1316593379 Courtney J Cupelo Counselor 90 Airport Rd Unit 22, Concord, NH 03301-5356 2019-08-15
1689131104 Baljeet Kaur Heyer Counselor 1486 Fox Hollow Ct, Concord, CA 94521-2521 2019-02-21
1679037774 Jill C Resch Counselor 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 2019-01-23
1114491412 Eileen Ann English Counselor 2 Concord Greene Unit 2, Concord, MA 01742-3186 2019-01-20
1598239352 Stuart Scott Counselor 259 S Main St, Concord, NH 03301-3405 2019-01-15
1215409222 Matthew Raymond Kern Counselor 4190 Brownwood Ln Nw, Concord, NC 28027-4501 2019-01-02
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Competitor

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City CONCORD
Zip Code 01742

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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