Individual provider Active NPI

Brittany Iczkowski, LPCC, LADC, LPC

  • Professional Counselor
  • Hudson, WI
National Provider Identifier
1003783721
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2173 Issued in MN
Practice address
522 2ND Street #102
Hudson, WI 54016
Phone
(715) 204-9840
NPI assigned
Oct 17, 2025
Last updated
Nov 29, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2173 MN Primary
Professional Counselor 101YP2500X 7992-125 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 304760 MN

Addresses

Primary practice location

522 2ND Street #102
Hudson, WI 54016

Mailing address

522 2ND Street #102
Hudson, WI 54016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

522 2ND St
Suite 102
Hudson, WI 54016-2512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304760MNMDAddiction (Substance Use Disorder) Counselor
7992-125WIMDProfessional Counselor
2173MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Choicepoints LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

522 2nd St
#102
Hudson, WI 54016
Phone (715) 204-9840

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1003783721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 2ND STREET #102",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 2ND STREET #102",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-204-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICZKOWSKI",
        "first_name": "BRITTANY",
        "credential": "LPCC, LADC, LPC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2173",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7992-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.