Individual provider Active NPI

Brenda R Lovick, MDIV, MA, LMFT

  • Marriage & Family Therapist
  • Monona, WI
National Provider Identifier
1376161489
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1116-124 Issued in WI
Practice address
5900 Monona Dr Ste 100
Monona, WI 53716-3556
Phone
(608) 663-0763
Fax
(608) 663-0765
NPI assigned
Jul 6, 2020
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 1116-124 WI Primary

Addresses

Primary practice location

5900 Monona Dr Ste 100
Monona, WI 53716-3556

Mailing address

5900 Monona Dr Ste 100
Monona, WI 53716-3556
Phone (608) 663-0763

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
I20240219000714 WI Practitioner - Marriage and Family Therapist 5395189310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

414 W Main St
Cambridge, WI 53523-9144
Phone (608) 616-5085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Jan 3, 2024 Accepting new patients
Beloved Therapy LLC Marriage & Family Therapist CurrentSince Dec 8, 2023 Accepting new patients
Samaritan Counseling Center of Southern Wisconsin Inc CurrentSince Jan 10, 2021 Accepting new patients
Samaritan Counseling Center PastSince Jan 10, 2021 Accepting new patients

Locations

414 W Main St
Cambridge, WI 53523
Phone (608) 616-5085

5315 Wall St
Ste 290
Madison, WI 53718
Phone (608) 601-8300

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

5900 Monona Dr
Ste 100
Monona, WI 53716
Phone (608) 663-0763

Organizations & group practices 4

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1376161489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVICK",
        "first_name": "BRENDA",
        "middle_name": "R",
        "credential": "MDIV, MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1116-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.