Provider Demographics
NPI:1841170479
Name:GREGG, BRENNA MARIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:BRENNA
Middle Name:MARIE
Last Name:GREGG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 N BAY COUNTRY CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67235-1953
Mailing Address - Country:US
Mailing Address - Phone:785-447-3338
Mailing Address - Fax:
Practice Address - Street 1:810 N BAY COUNTRY CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67235-1953
Practice Address - Country:US
Practice Address - Phone:785-447-3338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC04875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health