Brenda L Baribeau, LPC
Individual provider Active NPI Professional Counselor · Turtle Lake, WI
NPI 1982165320 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1982165320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4772 (WI)
- Practice address
- 730 Swede Avenue
Turtle Lake, WI 54889 - Phone
- (715) 986-2640
- Fax
- (715) 986-2521
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cornerstone Clinic LLC
Practice addresses (Care Compare)
3015 S Main St
Rice Lake, WI 54868-8710
Phone (715) 600-2798
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250115002354 | WI | Practitioner - Mental Health Counselor | 0840728093 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4772 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Clinic LLC | Mental Health | Current |
Accepting new patients |
| Caillier Clinic LTD | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
| The Lakes Community Health Center, Inc | Past |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Past |
Accepting new patients |
Locations
2831 Post Rd
Ste 300
Plover, WI 54467
Phone (715) 600-2798
3015 S Main St
Rice Lake, WI 54868
Phone (715) 600-2798
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4772 | WI | |
| Professional Counselor | 101YP2500X | 4772 | WI | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
730 Swede Avenue
Turtle Lake, WI 54889
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Phone (888) 834-4551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11345 | Other | WI | STATE LICENSE - LPC |
| 4772-226 | Other | WI | LPC-IT |
| 18832-130 | Other | WI | SAC-IT |
Other providers in Turtle Lake, WI
- Amery Regional Medical Center, Inc.
- Kathleen Ann Bergman
- Benjamin John Brenna
- Sheri R Brunette
- Cesa #11 Rural Health Dental Clinic
- Cumberland Memorial Hospital Inc
All providers in Turtle Lake, 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 Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.