MRS. BRENNA KRISTIN-LIESMA KIND LMSW, CCS-DP, CAADC
NPI 1669124715
Counselor - Addiction (Substance Use Disorder) in Gladwin, MI

Active since January 20, 2022PECOS EnrolledAccepts Medicare Assignment
1302 CHATTERTON ST, GLADWIN, MI 48624(989) 426-8886 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Jan 20, 2022 (2 updates tracked since 2022).

About Mrs. Brenna Kristin-liesma Kind Lmsw, Ccs-dp, Caadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BRENNA KRISTIN-LIESMA KIND LMSW, CCS-DP, CAADC (NPI 1669124715) is an individual addiction (substance use disorder) provider in Gladwin, Michigan, licensed in Michigan (C05187) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669124715
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. BRENNA KRISTIN-LIESMA KINDCredential: LMSW, CCS-DP, CAADC
Location Address1302 CHATTERTON STGladwin, MI 48624-1804
Mailing Address1302 Chatterton St Unit 2Gladwin, MI 48624-1804 · (989) 426-8886 · Fax (989) 426-8889
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 20, 2022
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1669124715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MI · C05187
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801120643 (MI)
1302 CHATTERTON ST, Gladwin, MI 48624

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Brenna Kristin-liesma Kind Lmsw, Ccs-dp, Caadc 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.

PECOS PAC ID8921507559
PECOS Enrollment IDI20250819004763
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1302 CHATTERTON ST
GLADWIN, MI 48624
Social Worker (Clinical)
1302 CHATTERTON ST
GLADWIN, MI 48624

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 Brenna Kind's NPI number?

The NPI number for Brenna Kind is 1669124715. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Brenna Kind located?

Brenna Kind practices at 1302 Chatterton St, Gladwin, MI 48624. The listed phone number is (989) 426-8886.

What is Brenna Kind's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Brenna Kind enrolled in Medicare?

Yes. Brenna Kind 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.

When was this NPI record last updated?

The NPPES record for Brenna Kind was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.