Caryn Patricia Brakenridge, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

601 Franklin St
Family & Children's Center
Winona, MN 55987-3822

Phone

(507) 453-9563

Fax

(507) 453-9562

NPI assigned

Mar 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 6, 2024 through Feb 6, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1871734525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 PLEASANT HILL DR",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559871364",
            "telephone_number": "708-846-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN ST",
            "address_2": "FAMILY & CHILDREN'S CENTER",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873822",
            "telephone_number": "507-453-9563",
            "fax_number": "507-453-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKENRIDGE",
        "first_name": "CARYN",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Borchert
• Lisa Marie Bork
• Christine Ursel Bothun, OTR
• Kailey Bowe
• Renee Samantha Bowe
• Kaydi Catherine Breeser, PA
• Renee Kathryn Brenengen, R.PH.
• Angelique Suzanne Brewer-Ottan, MS, LPC, NCC
• Sydney Brezany
• Laurie S Broghammer, DPM

• Mental Health Counselor in Winona, MN
• Providers in Winona, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.