BRENDA JONES LCSW
NPI 1386658979
Social Worker - Clinical in Appleton, WI
About Brenda Jones Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA JONES LCSW (NPI 1386658979) is an individual clinical provider in Appleton, Wisconsin, licensed in Wisconsin (9941123) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brenda Jones Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Brenda Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Appleton, WI 54911
- Reassigned Medicare billing, Wisconsin enrollment
- 15 clinicians in this Medicare group
Appleton, WI 54913
- Reassigned Medicare billing, Wisconsin enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54913
APPLETON, WI 54913
APPLETON, WI 54913
APPLETON, WI 54913
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brenda Jones's NPI number?
The NPI number for Brenda Jones is 1386658979. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Brenda Jones located?
Brenda Jones practices at 1835 E Edgewood Dr Ste 105107, Appleton, WI 54913. The listed phone number is (920) 234-6842.
What is Brenda Jones's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Brenda Jones enrolled in Medicare?
Yes. Brenda Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brenda Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Jones reassigns Medicare benefits to 2 organizations: Mend Counseling LLC (Appleton, WI) and Wisconsin Wellness Mh, LLC (Appleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brenda Jones accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Network Health, Quartz and UnitedHealthcare list Brenda Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brenda Jones was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brenda Jones, LCSW · NPI 1386658979
Clinical provider in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1386658979 (Entity type: Individual)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9941123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1835 E EDGEWOOD DR STE 105107, Appleton, WI 54913-9407
- **Phone:** (920) 234-6842 · **Fax:** (920) 482-5618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mend Counseling LLC (NPI 1457087850, Appleton, WI); Wisconsin Wellness Mh, LLC (NPI 1548041924, Appleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** October 17, 2025
- **Other identifiers:** Other 857409 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1386658979) · Data from the CMS NPPES public registry.