Individual provider Active NPI

Brianna M Cotter, MS, LMFT-IT

  • Marriage & Family Therapist
  • Reedsburg, WI
National Provider Identifier
1326606740
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
694-228 Issued in WI
Practice address
710 N Webb Ave
Reedsburg, WI 53959-1149
Phone
(608) 524-5151
Fax
(608) 524-5353
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 694-228 WI Primary

Addresses

Primary practice location

710 N Webb Ave
Reedsburg, WI 53959-1149

Mailing address

710 N Webb Ave
Reedsburg, WI 53959-1149
Phone (608) 524-5151

Other names 1

  • Brianna M Hesselberg 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
I20260122002617 WI Order and Referring Only - Marriage and Family Therapist 1850878687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
694-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Meadow Therapy LLC Current Accepting new patients
Community Service Associates, SC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1326606740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N WEBB AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591149",
            "telephone_number": "608-524-5151",
            "fax_number": "608-524-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N WEBB AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591149",
            "telephone_number": "608-524-5151",
            "fax_number": "608-524-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "BRIANNA",
        "middle_name": "M",
        "credential": "MS, LMFT-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "694-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "HESSELBERG",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.