Individual provider Active NPI

Brenda Jo Nemitz, LPC

  • Mental Health Counselor
  • Weston, WI
National Provider Identifier
1124486733
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3704 Weston Ave
Weston, WI 54476-5242
Phone
(715) 298-6364
Fax
(715) 298-6365
NPI assigned
Feb 10, 2016
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3704 Weston Ave
Weston, WI 54476-5242

Mailing address

2224 Setter Dr
Kronenwetter, WI 54455-7278
Phone (715) 551-4137

Other names 1

  • Brenda Jo Lanham Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260220002046 WI Practitioner - Mental Health Counselor 0941781652 Practice locations: Schofield, WI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

219 Ross Ave
Suite 101
Schofield, WI 54476-6110
Phone (715) 551-4137

2224 Setter Dr
Kronenwetter, WI 54455-7278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Wausau, LLC CurrentSince Nov 11, 2023 Accepting new patients

Locations

3704 Weston Ave
Weston, WI 54476
Phone (715) 298-6364

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1124486733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 SETTER DR",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544557278",
            "telephone_number": "715-551-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 WESTON AVE",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765242",
            "telephone_number": "715-298-6364",
            "fax_number": "715-298-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMITZ",
        "first_name": "BRENDA",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "LANHAM",
            "middle_name": "JO",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.