Mr. Brendan Stack, LPC, LADC
Counselor, Professional in Southbury, Connecticut
1316403892- Practice location
- 519 Heritage RD Ste 2A5, Southbury, CT 06488-6694
- Phone
- 518-610-4528
- Fax
- —
- Last updated
- July 18, 2025
Brendan Stack is a Counselor, Professional based in Southbury, CT. Brendan Stack practices in Southbury, CT and has the professional credentials of LPC, LADC. The NPI Number for Brendan Stack is 1316403892 and holds a License No. 001323 (CT). The current practice location address for Brendan Stack is 519 Heritage RD Ste 2A5, Southbury, CT 06488-6694 and can be reached out via phone at 518-610-4528.
Provider Profile Details
- NPI Number
- 1316403892
- Provider Name
- Brendan Stack
- Credential
- LPC, LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 519 Heritage RD Ste 2A5, Southbury, CT 06488-6694
- Phone Number
- 518-610-4528
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 20, 2019
- Last Update Date
- July 18, 2025
- Certification Date
- July 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 519 Heritage RD Ste 2A5
Southbury, CT 06488-6694 - City
- Southbury
- State
- Connecticut
- Zip
- 06488-6694
- Phone Number
- 518-610-4528
Provider Business Mailing Address Details
- Address
- 127 Watertown RD
Middlebury, CT 06762-1502 - City
- Middlebury
- State
- CT
- Zip
- 06762-1502
- Phone Number
- 518-610-4528
License Information
- License Number (1)
- 001323
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 4530
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Brendan Stack, LPC, LADC?
The NPI number of Mr. Brendan Stack, LPC, LADC is 1316403892. It was assigned on February 20, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Brendan Stack, LPC, LADC?
Mr. Brendan Stack, LPC, LADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001323.
Where does Mr. Brendan Stack, LPC, LADC practice?
The practice location is 519 Heritage RD Ste 2A5, Southbury, CT 06488-6694. The office can be reached at 518-610-4528 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316403892 directly on the NPPES registry website.