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MR. JEREMY DON BRENNEMAN LCPC, LCADC
NPI 1891233847
Counselor - Addiction (Substance Use Disorder) in Oakland, MD

Active since February 09, 2017PECOS EnrolledAccepts Medicare Assignment
1027 MEMORIAL DR, OAKLAND, MD 21550(301) 533-3300(301) 533-3299 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 19, 2018, Feb 13, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Jeremy Don Brenneman Lcpc, Lcadc NPPES

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

MR. JEREMY DON BRENNEMAN LCPC, LCADC (NPI 1891233847) is an individual addiction (substance use disorder) provider in Oakland, Maryland, licensed in Maryland (LCA437) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1891233847
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JEREMY DON BRENNEMANCredential: LCPC, LCADC
Location Address1027 MEMORIAL DROakland, MD 21550-4343
Mailing Address1027 Memorial DrOakland, MD 21550-4343 · (301) 533-3300 · Fax (301) 533-3299
Phone(301) 533-3300
Fax(301) 533-3299
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 9, 2017
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
✔ NPI 1891233847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · LCA437
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC2085 (MD), LC2028 (MD)
1027 MEMORIAL DR, Oakland, MD 21550
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1104 Parkview DrGrantsville, MD 21536-1086 · Phone (844) 652-8735 · Fax (301) 533-3300
Location 210102 Country Club Rd SECumberland, MD 21502-8339 · Phone (301) 777-2290 · Fax (301) 777-2160
Location 31027 Memorial DrOakland, MD 21550-4343 · Phone (301) 533-3300 · Fax (301) 533-3299

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeremy Don Brenneman Lcpc, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860841764
PECOS Enrollment IDI20231216000400
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.

CARDINAL HEALTH PHARMACY SERVICES, LLC
Pharmacy (Community/Retail Pharmacy)
1027 MEMORIAL DR, SUITE 100
OAKLAND, MD 21550
Garrett County (301) 245-7002
MRS. KAYLENE LYNN GRAY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
DR. ROBERT W PHARES MD
Family Medicine
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
MISS CATESSA L SIMON MS, RD, LD
Dietitian, Registered
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
JACQUELYN P BAUER C.R.N.P.
Nurse Practitioner (Pediatrics)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
MS. MARIAN PENELOPE THOMAS FNP-BC
Nurse Practitioner (Family)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
DEREK KYLE MCCAULEY LCSW-C
Social Worker (Clinical)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
BARBARA ANN MONN P.A.-C
Physician Assistant
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300

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 Jeremy Brenneman's NPI number?

The NPI number for Jeremy Brenneman is 1891233847. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Jeremy Brenneman located?

Jeremy Brenneman practices at 1027 Memorial Dr, Oakland, MD 21550. The listed phone number is (301) 533-3300.

What is Jeremy Brenneman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jeremy Brenneman enrolled in Medicare?

Yes. Jeremy Brenneman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeremy Brenneman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.