Active NPI
Brenda Lee Kettner Schultz, MSE, NCC, RADCI
- Counselor
- Stevens Point, WI
National Provider Identifier
1629178892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 204852 CERTIFICATION
- Practice address
- 209 Prentice St N
Stevens Point, WI 54481-1162 - Phone
- (715) 343-3347
- Fax
- (715) 344-8127
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 204852 CERTIFICATION | WI | Primary |
Addresses
Primary practice location
209 Prentice St N
Stevens Point, WI 54481-1162
Mailing address
209 Prentice St N
Stevens Point, WI 54481-1162
Phone (715) 343-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13594 | Other | WI | WI CERT BOARD, RADCI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204852 CERTIFICATION | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629178892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 PRENTICE ST N",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811162",
"telephone_number": "715-343-3347",
"fax_number": "715-344-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 PRENTICE ST N",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811162",
"telephone_number": "715-343-3347",
"fax_number": "715-344-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "BRENDA",
"middle_name": "LEE KETTNER",
"name_prefix": "Ms.",
"credential": "MSE, NCC, RADCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "204852 CERTIFICATION",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI CERT BOARD, RADCI",
"identifier": "13594",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.