Individual provider Active NPI

Brenda R Winter, LPCMH

  • Mental Health Counselor
  • Brandon, SD
National Provider Identifier
1609186311
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH-2267 Issued in SD
Practice address
400 S 1St Ave
Brandon, SD 57005-1264
Phone
(605) 360-0194
NPI assigned
Oct 15, 2010
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCMH-2267 SD Primary

Addresses

Primary practice location

400 S 1St Ave
Brandon, SD 57005-1264

Mailing address

400 S 1St Ave
Brandon, SD 57005-1264
Phone (605) 360-0194

Other identifiers 1

IdentifierTypeStateIssuer
95751OtherSDNATIONAL BOARD FOR CERTIFIED COUNSELORS INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240514003896 SD Practitioner - Mental Health Counselor 3173964608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 S 1St Ave
Brandon, SD 57005-1264
Phone (605) 360-0194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH-2267SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BR Counseling LLC Mental Health CurrentSince Mar 27, 2024 Accepting new patients

Organizations & group practices 1

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1609186311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 1ST AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051264",
            "telephone_number": "605-360-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 1ST AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051264",
            "telephone_number": "605-360-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "BRENDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH-2267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS INC.",
            "identifier": "95751",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

Verify at the official NPI Registry.