Individual provider Active NPI

Briana Lynn Kidd, LPC

  • Professional Counselor
  • Reedsburg, WI
National Provider Identifier
1225438732
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2248-226 Issued in WI
Practice address
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone
(608) 888-2696
NPI assigned
Sep 3, 2014
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17208-130 WI
Professional Counselor 101YP2500X 2248-226 WI Primary

Addresses

Primary practice location

2000 N Dewey Ave
Reedsburg, WI 53959-1049

Mailing address

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 888-2696

Other names 1

  • Briana Lynn Hardyman Former 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
I20250212003188 WI Practitioner - Mental Health Counselor 2567992019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900

1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900

1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17208-130WIMDAddiction (Substance Use Disorder) Counselor
2248-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Area Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Reedsburg Area Medical Center, Inc. Current Accepting new patients

Locations

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Organizations & group practices 3

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1225438732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591049",
            "telephone_number": "608-888-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591049",
            "telephone_number": "608-888-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "BRIANA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17208-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2248-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "HARDYMAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.