MS. KATHLEEN BRENNAN BA, MA, ED.M
NPI 1104114024
Counselor - Addiction (Substance Use Disorder) in Brockton, MA
About Ms. Kathleen Brennan Ba, Ma, Ed.m NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHLEEN BRENNAN BA, MA, ED.M (NPI 1104114024) is an individual addiction (substance use disorder) provider in Brockton, Massachusetts and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kathleen Brennan Ba, Ma, Ed.m is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Brennan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Needham, MA 02492
- Reassigned Medicare billing, Massachusetts enrollment
- 240 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROCKTON, MA 02302
BROCKTON, MA 02302
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 Kathleen Brennan's NPI number?
The NPI number for Kathleen Brennan is 1104114024. It was assigned to this individual provider in the NPPES registry on July 12, 2011.
Where is Kathleen Brennan located?
Kathleen Brennan practices at 180 Centre St, Brockton, MA 02302. The listed phone number is (508) 314-0016.
What is Kathleen Brennan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Kathleen Brennan enrolled in Medicare?
Yes. Kathleen Brennan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Brennan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Brennan reassigns Medicare benefits to Supportive Behavioral Care Of Ma LLC (Needham, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Brennan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Brennan accept?
Health plans from Harvard Pilgrim Health Care list Kathleen Brennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Brennan was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Ms. Kathleen Brennan, BA, MA, ED.M · NPI 1104114024
Addiction (Substance Use Disorder) provider in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since July 12, 2011.
## Identity
- **NPI:** 1104114024 (Entity type: Individual)
- **Enumerated:** July 12, 2011
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 180 CENTRE ST, Brockton, MA 02302-2733
- **Phone:** (508) 314-0016
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Supportive Behavioral Care Of Ma LLC (NPI 1780115519, Needham, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1104114024) · Data from the CMS NPPES public registry.