1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Marriage Family Therapist
  6. NPI Profile

JACK BRENNAN
NPI 1740543107
Marriage & Family Therapist in Los Angeles, CA

Active since June 20, 2012PECOS Enrolled
1554 S SEPULVEDA BLVD STE 212, LOS ANGELES, CA 90025(619) 602-7353 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Brennan NPPES

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

JACK BRENNAN (NPI 1740543107) is an individual marriage & family therapist in Los Angeles, California, licensed in California (116210) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740543107
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJACK BRENNAN
Location Address1554 S SEPULVEDA BLVD STE 212Los Angeles, CA 90025-3359
Mailing Address1554 S Sepulveda Blvd Ste 212Los Angeles, CA 90025-3359 · (619) 602-7353
Phone(619) 602-7353
Sole ProprietorNo
Enumeration DateJune 20, 2012
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1740543107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 116210
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1554 S SEPULVEDA BLVD STE 212, Los Angeles, CA 90025
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Brennan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH HOWARD FURIE
Social Worker (Clinical)
1554 S SEPULVEDA BLVD STE 212
LOS ANGELES, CA 90025
Los Angeles County (310) 953-8185
JESSICA MCINTYRE LMFT
Marriage & Family Therapist
1554 S SEPULVEDA BLVD STE 212
LOS ANGELES, CA 90025
Los Angeles County (310) 497-8668

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 Jack Brennan's NPI number?

The NPI number for Jack Brennan is 1740543107. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Jack Brennan located?

Jack Brennan practices at 1554 S Sepulveda Blvd Ste 212, Los Angeles, CA 90025. The listed phone number is (619) 602-7353.

What is Jack Brennan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jack Brennan enrolled in Medicare?

Yes. Jack Brennan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Brennan was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.