Mrs Brenda L Ticknor, LIMHP, LMHC, SADC, L in Council Bluffs, IA

Mrs Brenda L Ticknor, LIMHP, LMHC, SADC, L is a medicare enrolled "Counselor - Mental Health" provider in Council Bluffs, Iowa. Her current practice location is 427 E. Kanesville Blvd., Suite 308, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (402) 616-9876.

Mrs Brenda L Ticknor is licensed to practice in Nebraska (license number 1543) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093982118.

Contact Information

	Mrs Brenda L Ticknor, LIMHP, LMHC, SADC, L
	427 E. Kanesville Blvd., Suite 308, Council Bluffs, IA 51503-4499
	(402) 616-9876
	(712) 355-5120

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Brenda L Ticknor
Gender	Female
Speciality	Counselor - Mental Health
Location	427 E. Kanesville Blvd., Council Bluffs, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093982118
Provider Enumeration Date: 05/08/2008
Last Update Date: 09/06/2019

Medicare PECOS Information:

PECOS PAC ID: 8325480965
Enrollment ID: I20240528001971

Medical Identifiers

Medical identifiers for Mrs Brenda L Ticknor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093982118	NPI	-	NPPES
9295	Other	NE	PLMHP
814	Other	NE	LADC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4316 (Nebraska)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	814 (Nebraska)	Secondary
101Y00000X	Counselor	2098 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	9295 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	1543 (Nebraska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Brenda L Ticknor allows following entities to bill medicare on her behalf.

Entity Name	Adult, Adolescent And Child Therapy, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134250632 PECOS PAC ID: 8224353685 Enrollment ID: O20150206001768

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brenda L Ticknor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Brenda L Ticknor, LIMHP, LMHC, SADC, L 2412 S. 11th Street, Council Bluffs, IA 51501-7407 Ph: (402) 616-9876	Mrs Brenda L Ticknor, LIMHP, LMHC, SADC, L 427 E. Kanesville Blvd., Suite 308, Council Bluffs, IA 51503-4499 Ph: (402) 616-9876

Reviews and Comments

Counselor in Council Bluffs, IA

Monica S Meier, PMHP, PMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E. Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833
Ashley Peregrine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2912 9th Ave, Council Bluffs, IA 51501 Phone: 402-553-3000
Jennifer Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Council Bluffs, IA 51503 Phone: 712-322-1407 Fax: 712-322-6833
Mrs. Rachelle A Bartlett, MS, PLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave, Council Bluffs, IA 51501 Phone: 712-352-0917
Thomas Edward Koch, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 3rd Ave # Ia51501, Council Bluffs, IA 51501 Phone: 712-352-0917 Fax: 712-352-0837
Robert Scott Andrews, MS LMHC NCC Counselor Medicare: Medicare Enrolled Practice Location: 300 W Broadway Ste 107, Council Bluffs, IA 51503 Phone: 712-328-3700
Mrs. Carolyn Ann Andersen Burgher, MS LMHC LMHP LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Main Place, Suite 100 Omni Center Business Park, Council Bluffs, IA 51503 Phone: 712-320-9205

Mrs Brenda L Ticknor, LIMHP, LMHC, SADC, L - Medicare Counselor in Council Bluffs, IA