Briana Jean Hoban, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

130338-121 Issued in WI

Practice address

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123

Phone

(715) 588-1511

Fax

(715) 588-3903

NPI assigned

May 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lac Du Flambeau Band of Lake Superior Chippewa IndiansGroup PAC ID 5496707242, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1134235047

  WI

  Medicare reassignment Care Compare group NPD
• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1306016563

  Community/Behavioral Health

  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1104563808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380189",
            "telephone_number": "715-588-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389123",
            "telephone_number": "715-588-1511",
            "fax_number": "715-588-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBAN",
        "first_name": "BRIANA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11558-123",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "130338-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104563808",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "11558-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvyn Golden, D.D.S.
• Jill Ann Graf, RDH
• Anthony A. Groothoff, SAC-IT
• Gary Louis Gusmerotti
• Alyse Kate Harding, RDH
• Rick Lee Howe, RPH
• Jeannette Lorraine Hurlburt, RDH
• Dana Irmick
• Sarah Jacobson, RDH
• Amber Marissa Johnson

• All providers in Lac Du Flambeau, WI
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.