Tanya L Bricco, MSW, CAPSW, SAC-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8217-123 Issued in WI

Practice address

1011 N 8TH St
Sheboygan, WI 53081-4006

Phone

(920) 459-3296

NPI assigned

Apr 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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 Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of SheboyganGroup PAC ID 2567568918, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• County of Sheboygan

  • Community/Behavioral Health Agency
  • Sheboygan, WI
  • NPI 1477677615
  Medicare reassignment Care Compare group NPD
• Life Point Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, WI
  • NPI 1407097371
  Medicare reassignment NPD

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1669816278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICCO",
        "first_name": "TANYA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW, CAPSW, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16547-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15830-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "128308-121",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "8217-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny K Brault, MD
• Kristen A Brazzale, APNP
• Krystin Breitag, SLP
• Evangeline L Brett, RPH
• Shirley A Brewer, R.N.
• Bridgepoint Health LLC
• Kristen Louise Bright, M.S. CCC-SLP
• Adam J Brill, L.A.T., A.T.C
• Jeffrey W Britton, MD
• Mary Jo Brixius, LPN

• Marriage & Family Therapist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.