MS. KATHLEEN BRENNAN BA, MA, ED.M
NPI 1104114024
Counselor - Addiction (Substance Use Disorder) in Brockton, MA

Active since July 12, 2011PECOS Enrolled
180 CENTRE ST, BROCKTON, MA 02302(508) 314-0016 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104114024
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KATHLEEN BRENNANCredential: BA, MA, ED.M
Location Address180 CENTRE STBrockton, MA 02302-2733
Mailing Address677 Quincy Shore Dr Apt 107Quincy, MA 02170-2200 · (617) 786-0271
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 12, 2011
NPI 1104114024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
180 CENTRE ST, Brockton, MA 02302

Accepted Insurance

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID4385096619
PECOS Enrollment IDI20240123000115
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.

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.

Registered Nurse (Addiction (Substance Use Disorder))
180 CENTRE ST
BROCKTON, MA 02302
Counselor (Addiction (Substance Use Disorder))
180 CENTRE ST
BROCKTON, MA 02302
Dietitian, Registered
180 CENTRE ST
BROCKTON, MA 02302
Licensed Practical Nurse
180 CENTRE ST
BROCKTON, MA 02302
Counselor (Addiction (Substance Use Disorder))
180 CENTRE ST
BROCKTON, MA 02302
Counselor (Addiction (Substance Use Disorder))
180 CENTRE ST
BROCKTON, MA 02302
Counselor (Addiction (Substance Use Disorder))
180 CENTRE ST
BROCKTON, MA 02302
Social Worker
180 CENTRE ST
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.

What insurance does Kathleen Brennan accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan 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 with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.