SUSAN CAROL BRENNAN (NPI# 1700981982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700981982 |
| Entity Type | Individual |
| Full Name | SUSAN CAROL BRENNAN |
| Credential | LMFT |
| Practice Address |
7251 Excelsior Rd Baxter MN 56425 |
| Mailing Address |
11125 Gull River Rd Brainerd MN 56401-3180 |
| Practice Telephone | 2184540878 |
| Practice Fax Number | 2184540879 |
| Mailing Telephone | 2184540878 |
| Mailing Fax Number | 2184540879 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1153 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS | 123L9BR | 01 |
| MN | 371229000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7251 Excelsior Rd, Baxter, MN 56425 | 2184540878 | 2184540879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770979197 | Susan Brennan | Speech-Language Pathologist | 5 West St, Hadley, MA 01035-9504 | 2015-04-13 |
| 1770975526 | Susan Lynn Brennan | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2015-03-03 |
| 1497151732 | Susan Brennan | Dietitian, Registered | 4000 Vine St, Middletown, PA 17057-3565 | 2014-11-14 |
| 1669885935 | Susan Irene Brennan | Acupuncturist | 345 N Main St, Suite 10, New City, NY 10956-4305 | 2014-06-04 |
| 1699032797 | Susan Marie Brennan | Dentist | 2020 E Market St, Akron, OH 44312-1114 | 2012-04-13 |
| 1366540320 | Susan Esther Brennan | Nurse Practitioner | 1200 El Camino Real, 5th Floor Hopital Tower, South San Francisco, CA 94080-3208 | 2006-09-20 |
| 1952328411 | Susan Brennan | Emergency Medicine | 640 S State St, Dover, DE 19901-3530 | 2006-07-17 |
| Street Address |
7251 EXCELSIOR RD |
| City | BAXTER |
| State | MN |
| Zip Code | 56425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558383000 | Nicholas Gammello | Psychologist | 7251 Excelsior Rd, Baxter, MN 56425 | 2006-07-24 |
| 1609355171 | Samantha Cole | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2018-08-07 |
| 1598271926 | Jennifer Lee Perez Krueger | Social Worker | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2017-12-21 |
| 1912454257 | Luke Hamilton | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2016-09-03 |
| 1326405788 | Tracey Marie Malone | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425 | 2016-01-15 |
| 1316303928 | Timothy James Anderson | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425 | 2016-01-12 |
| 1275907362 | Lakes Country Counseling | Community/Behavioral Health | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2015-11-30 |
| 1366823999 | Terry Stumbo | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2015-06-09 |
| 1508247149 | Donette Lair | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2015-06-09 |
| 1194105205 | Jamie Teresa Whiteman | Social Worker | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083092787 | Samantha Laughery | Marriage & Family Therapist | 13045 Falcon Dr # 100, Baxter, MN 56425-4201 | 2015-05-13 |
| 1528470960 | Amanda Hemsworth | Marriage & Family Therapist | 7760 Excelsior Rd, Baxter, MN 56425-9767 | 2014-05-20 |
| 1043497035 | Joseph Micheal Mullen IIi | Marriage & Family Therapist | 6988 Fox Rd, Baxter, MN 56425-9758 | 2008-01-22 |
| 1841839503 | Robert Clemons | Marriage & Family Therapist | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-12-29 |
| 1609355171 | Samantha Cole | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2018-08-07 |
| 1568990927 | Tiffany Marie Conner | Marriage & Family Therapist | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2017-05-30 |
| 1912454257 | Luke Hamilton | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2016-09-03 |
| 1326405788 | Tracey Marie Malone | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425 | 2016-01-15 |
| 1316303928 | Timothy James Anderson | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425 | 2016-01-12 |
| 1366823999 | Terry Stumbo | Marriage & Family Therapist | 7251 Excelsior Rd, Baxter, MN 56425-8477 | 2015-06-09 |
| Find all providers in BAXTER | ||||
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| 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.