Individual provider Active NPI

Brenna Kristin-Liesma Kind, LMSW, CCS-DP, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Gladwin, MI
National Provider Identifier
1669124715
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C05187 Issued in MI
Practice address
1302 Chatterton St
Gladwin, MI 48624-1804
Phone
(989) 426-8886
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801120643 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X C05187 MI Primary

Addresses

Primary practice location

1302 Chatterton St
Gladwin, MI 48624-1804

Mailing address

1302 Chatterton St Unit 2
Gladwin, MI 48624-1804
Phone (989) 426-8886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250819004763 MI Practitioner - Clinical Social Worker 8921507559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ten Sixteen Recovery NetworkGroup PAC ID 5395187975, 2 clinicians

Practice addresses (Care Compare)

1302 Chatterton St
Unit 2
Gladwin, MI 48624-1804
Phone (989) 426-8886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C05187MIMDAddiction (Substance Use Disorder) Counselor
6801120643MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ten Sixteen Recovery Network Addiction (Substance Use Disorder) CurrentSince Aug 15, 2025 Accepting new patients
Ten 16 Recovery Network CurrentSince Aug 15, 2025 Accepting new patients
Ten Sixteen Recovery Network Past Accepting new patients

Locations

1302 Chatterton St
Unit 2
Gladwin, MI 48624
Phone (989) 426-8886

133 N Saginaw Rd
Midland, MI 48640
Phone (989) 631-0241

1000 W Cedar St
Standish, MI 48658
Phone (989) 846-4573

1000 W Cedar St
#Ten16
Standish, MI 48658
Phone 98942688861060

Organizations & group practices 3

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1669124715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 CHATTERTON ST UNIT 2",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241804",
            "telephone_number": "989-426-8886",
            "fax_number": "989-426-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CHATTERTON ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241804",
            "telephone_number": "989-426-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIND",
        "first_name": "BRENNA",
        "middle_name": "KRISTIN-LIESMA",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CCS-DP, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120643",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C05187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

Verify at the official NPI Registry.