Gary S Brennan Lpc Cadc Ncc Psychological And Addiction Services LLC
Counselor, Professional in Randolph, NJ. Organization (NPI-2).
Details
- NPI
- 1619215993
- Entity type
- Organization (NPI-2)
- Legal business name
- Gary S Brennan Lpc Cadc Ncc Psychological And Addiction Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2013
- Last updated
- Jan 22, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- 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
Authorized official
Gary S Brennan
Registered Agent / Owner
9737968322
Is something wrong?
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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