Gary S. Brennan, LPC, CADC
Counselor, Professional in Randolph, NJ. Individual provider (NPI-1).
NPI number1477891745
StatusActive
Last updated in NPPESJan 22, 2013
Details
- NPI
- 1477891745
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary S. Brennan
- Credential
- LPC, CADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2013
- Last updated
- Jan 22, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00464900 | NJ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37CA00033700 | NJ | |
| 101YM0800X | Counselor, Mental Health | S4065 | NJ |
Practice location
362 Quaker Church RdRandolph, NJ 07869-1455
Phone 973-796-8322 · Fax 973-366-2747
Mailing address
362 Quaker Church RdRandolph, NJ 07869-1455
Phone 973-796-8322 · Fax 973-366-2747
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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