Ronna Lynette Brennan, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4645-226 Issued in WI

Practice address

1 1/2 W Geneva St
Elkhorn, WI 53121-1722

Phone

(262) 723-3424

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Behavioral Clinics SCGroup PAC ID 7517937964, 46 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.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859

  WI

  Medicare reassignment Care Compare group NPD
• Credence Therapy Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
  • NPI 1487648663
  NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1154948842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 SHERWOOD CT",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531056919",
            "telephone_number": "608-213-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "RONNA",
        "middle_name": "LYNETTE",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4645-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bragagnolo, MD
• Mary Brauer, PT
• Kelly L Brazer, CCC-SLP
• Mary Breese
• Karen Breit, F.N.P.
• John Franklin Brensinger IV, L.P.N.
• Meghan M Bretl, PT
• Staci Brewer, FNP-C
• Beth Brinkman
• Cheryl Brost, MS

• All providers in Elkhorn, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.