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BRENDAN CONN MS, LMHCA, NCC
NPI 1023701836
Counselor - Mental Health in Indianapolis, IN

Active since May 29, 2023PECOS Enrolled
1921 RUCKLE ST APT 1/2, INDIANAPOLIS, IN 46202(317) 296-5522 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brendan Conn Ms, Lmhca, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN CONN MS, LMHCA, NCC (NPI 1023701836) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (88001693) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023701836
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDAN CONNCredential: MS, LMHCA, NCC
Location Address1921 RUCKLE ST APT 1/2Indianapolis, IN 46202-1750
Mailing Address1921 Ruckle StIndianapolis, IN 46202-1750 · (317) 296-5522
Phone(317) 296-5522
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 29, 2023
NPPES CertifiedMay 29, 2023
✔ NPI 1023701836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 88001693
1921 RUCKLE ST APT 1/2, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan Conn Ms, Lmhca, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365944782
PECOS Enrollment IDI20250905000997
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Conn's NPI number?

The NPI number for Brendan Conn is 1023701836. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Brendan Conn located?

Brendan Conn practices at 1921 Ruckle St Apt 1/2, Indianapolis, IN 46202. The listed phone number is (317) 296-5522.

What is Brendan Conn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brendan Conn enrolled in Medicare?

Yes. Brendan Conn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendan Conn was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.