CECILIA BRENNAN – Mental Health Counselor, NPI 1093484123

CECILIA BRENNAN is a healthcare provider. based in Oak bluffs, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for CECILIA BRENNAN is 1093484123

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CECILIA BRENNAN
NPI
1093484123
Phone
(201) 981-5123
Address
PO BOX 485
Enumeration Date
11 September 2021
Last Update Date
11 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086937900213
Graduation Year
2023 (3 years ago)
PAC ID
4981194685
Group Practice PAC ID
4385552496
Professional Enrollment ID
I20251110002234
Address ID
MA025570000OA111XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for CECILIA BRENNAN

  • PO BOX 485

    OAK BLUFFS, MA 025570485

    Phone: (201) 981-5123

    Type: Mailing

  • 111 EDGARTOWN RD

    VINEYARD HAVEN, MA 025685699

    Phone: (508) 693-7900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251110002234IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02557)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385552496View full group profile
NameSpecialtyState
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Nurse PractitionerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
P S Y C H I A T R YMA
Clinical Social WorkerMA
Clinical PsychologistMA

Reviews

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Frequently asked questions

Can I cross-check CECILIA BRENNAN using NPI 1093484123?
NPI 1093484123 belongs to CECILIA BRENNAN; compare other details if you need extra assurance.
Is CECILIA BRENNAN shown as active in public data?
Registry records indicate CECILIA BRENNAN maintains an active NPI.
How would a patient describe CECILIA BRENNAN's focus?
For CECILIA BRENNAN, the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CECILIA BRENNAN?
Travel planning: use Oak Bluffs, Massachusetts as the reference point for CECILIA BRENNAN, then confirm.
When was this NPI issued?
Enumeration for CECILIA BRENNAN is noted as September 11, 2021 where the registry provides it.

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