Individual provider Active NPI

Brenna Newberry, LPC

  • Professional Counselor
  • Kirksville, MO
National Provider Identifier
1013368489
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025027344 Issued in MO
Practice address
705 E Laharpe St Ste C
Kirksville, MO 63501-4526
Phone
(660) 988-9669
Fax
(888) 414-6717
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025027344 MO Primary

Addresses

Primary practice location

705 E Laharpe St Ste C
Kirksville, MO 63501-4526

Mailing address

PO Box 924
Kirksville, MO 63501-0924
Phone (660) 988-9669

Other identifiers 1

IdentifierTypeStateIssuer
490126157MedicaidMO

Other names 1

  • Brenna Moots Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027002021 MO Practitioner - Mental Health Counselor 8123517687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Counseling IncGroup PAC ID 1658719968, 5 clinicians

Practice addresses (Care Compare)

705 E Laharpe St
Suite C
Kirksville, MO 63501-4526
Phone (660) 988-9669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025027344MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Counseling Inc Professional CurrentSince Feb 1, 2026 Accepting new patients
DBT Columbia LLC CurrentSince May 9, 2021 Accepting new patients

Locations

705 E Laharpe St
Ste C
Kirksville, MO 63501
Phone (660) 202-1155

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1013368489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010924",
            "telephone_number": "660-988-9669",
            "fax_number": "888-414-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST STE C",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526",
            "telephone_number": "660-988-9669",
            "fax_number": "888-414-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "BRENNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025027344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490126157",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "MOOTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.