KRISTA G BRENNFOERDER (MA, LCPC) – Professional Counselor, NPI 1194095950

KRISTA G BRENNFOERDER (MA, LCPC) is a healthcare provider. based in St charles, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LCPC. They hold a License No. 2009017307 (MO). The NPI Number for KRISTA G BRENNFOERDER (MA, LCPC) is 1194095950

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA G BRENNFOERDER (MA, LCPC)
NPI
1194095950
Phone
(630) 377-6613
Address
1120 E MAIN ST
Enumeration Date
10 January 2012
Last Update Date
17 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162962130
Graduation Year
2008 (18 years ago)
PAC ID
5092150342
Group Practice PAC ID
3375701873
Professional Enrollment ID
I20240419001622
Address ID
MI494569702SP17224RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for KRISTA G BRENNFOERDER (MA, LCPC)

  • 1120 E MAIN ST

    SUITE 201

    ST CHARLES, IL 601742287

    Phone: (630) 377-6613

    Fax: (630) 377-6225

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240419001622IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60174)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375701873View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
-MI

Reviews

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Frequently asked questions

Does KRISTA G BRENNFOERDER (MA, LCPC) have a public NPI I can cite?
Public records show KRISTA G BRENNFOERDER (MA, LCPC) under NPI 1194095950.
Does the public listing show KRISTA G BRENNFOERDER (MA, LCPC) as active?
KRISTA G BRENNFOERDER (MA, LCPC)'s NPI record reflects an active status in NPPES.
What services align with KRISTA G BRENNFOERDER (MA, LCPC)'s listing?
KRISTA G BRENNFOERDER (MA, LCPC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTA G BRENNFOERDER (MA, LCPC)?
KRISTA G BRENNFOERDER (MA, LCPC) shows a connection to St Charles, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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