Provider Demographics
NPI:1689121394
Name:LEHOTAY, BRENNAN (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:BRENNAN
Middle Name:
Last Name:LEHOTAY
Suffix:
Gender:M
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 SW 21ST ST STE 103
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3412
Mailing Address - Country:US
Mailing Address - Phone:785-509-3485
Mailing Address - Fax:785-301-8292
Practice Address - Street 1:4015 SW 21ST ST STE 103
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3412
Practice Address - Country:US
Practice Address - Phone:785-509-3485
Practice Address - Fax:785-301-8292
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-10
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033216363LP0808X
COC-APN.0100475-C-NP363LP0808X
KS53-82342-082363LP0808X
OHRN.421081163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000224520Medicaid
KS30005215720001Medicaid