Bryanna Kim Ashenbrener, MA, LPC
Individual provider Active NPI Professional Counselor · Manitowoc, WI
NPI 1689056830 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1689056830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6280-125 (WI)
- Practice address
- 980 Maritime Dr Ste 1
Manitowoc, WI 54220-2962 - Phone
- (920) 905-1020
- Fax
- (920) 905-1020
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6280-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Counseling LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6280-125 | WI | Yes |
Addresses
Primary practice location
980 Maritime Dr Ste 1
Manitowoc, WI 54220-2962
Mailing address
980 Maritime Dr Ste 1
Manitowoc, WI 54220-2962
Phone (920) 905-1020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689056830 | Medicaid | WI |
Other names
- Bryanna Kim Mertens
Other providers in Manitowoc, WI
- Arbors at Toledo, Inc.
- Gina Lynne Armstrong
- Jessica Lynn Arnold
- Debra L Arrowood
- Nicole Artamenko
- Assisted Living Concepts Inc
- Thomas Seppo Asuma
- Gabrielle Atkins
- David E Augustine
- Aurora Medical Group, Inc
All providers in Manitowoc, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.