Brenda Joyce Rahn, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3251-57 Issued in WI

Practice address

930 Galloway St Ste 101
Eau Claire, WI 54703-3913

Phone

(715) 595-3714

NPI assigned

Jul 2, 2024

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

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Renewal Mental Health Counseling

  • Adult Mental Health Clinic/Center
  • Eau Claire, WI
  • NPI 1902621196
  Medicare reassignment NPD Authorized official
• Rebuild Mental Health Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eau Claire, WI
  • NPI 1861387250
  NPD

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1548006208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "HOLCOMBE",
            "state": "WI",
            "postal_code": "547450251",
            "telephone_number": "715-595-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 GALLOWAY ST STE 101",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033913",
            "telephone_number": "715-595-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHN",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3251-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Raehl, DO
• Kristal Varsha Ragbir-Toolsie, MD
• Rian Marie Rahm, LPC
• Seema Rahman, MD
• Gazanfar Rahmathulla, M.D.
• Kathryn A Raines, NP
• Lawrence Rajan, MD
• Ralph'S Shoes
• Ganesh Ram, PA
• Michael Ramaeker, PT

• Clinical Psychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.