Brooke Johnson-Hintz, LPC
Individual provider Active NPI Mental Health Counselor · Whitehall, WI
NPI 1144745779 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1144745779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7382-125 (WI)
- Practice address
- N36647 County Road QQQ
Whitehall, WI 54773-4400 - Phone
- (715) 538-9134
- Fax
- (715) 538-9131
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Trempealeau
Practice addresses (Care Compare)
N36647 County Rd QQQ
Whitehall, WI 54773-4400
Phone (715) 538-9134
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240419002354 | WI | Practitioner - Mental Health Counselor | 5092154237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7382-125 | WI | MD | Mental Health Counselor |
| 3556-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Trempealeau | Current | Accepting new patients | |
| County of Trempealeau | Current |
Accepting new patients | |
| Trempealeau County Health Care Center | Current |
Accepting new patients |
Locations
N36647 County Road QQQ
Whitehall, WI 54773
Phone (715) 538-4312
W20410 State Road 121
Whitehall, WI 54773
Phone (715) 538-4312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3556-226 | WI | |
| Mental Health Counselor | 101YM0800X | 7382-125 | WI | Yes |
Addresses
Primary practice location
N36647 County Road QQQ
Whitehall, WI 54773-4400
Mailing address
120 S Barstow St
Eau Claire, WI 54701-3642
Other names
- Brooke Johnson
Other providers in Whitehall, WI
- Jeffery Scott Herried
- Belinda C Hickey
- Angela E House
- Amanda Jane Janke
- Shari Jaskowski
- Courtney Johnson
- Thelma Johnson
- Rebecca Marie Kahle
- Mason Edward Kauffman
- Kelsey J Kemnitz
All providers in Whitehall, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.