BRENDA CANADA – Mental Health Counselor, NPI 1235681040

BRENDA CANADA is a healthcare provider. based in Toledo, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E.1800562 (OH). The NPI Number for BRENDA CANADA is 1235681040

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA CANADA
NPI
1235681040
Phone
(419) 475-4449
Address
PO BOX 8970
Enumeration Date
27 October 2016
Last Update Date
15 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404248001
Graduation Year
2015 (11 years ago)
PAC ID
3971954652
Group Practice PAC ID
5799136701
Professional Enrollment ID
I20240106000460
Address ID
OH439522662ST401XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for BRENDA CANADA

  • PO BOX 8970

    TOLEDO, OH 436230970

    Phone: (419) 475-4449

    Type: Mailing

  • 315 MURBACH ST

    ARCHBOLD, OH 435021220

    Phone: (419) 388-9216

    Type: Location

  • West Central Avenue, Westgate, Toledo, Lucas County, Ohio, 43606:43615, United States

    TOLEDO, OH 436171098

    Phone: (419) 475-4449

    Type: Location

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: 2024-01-06

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
I20240106000460IMental Health CounselorOHTBD

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 43623)

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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: 5799136701View full group profile
NameSpecialtyState
Mental Health CounselorND
Clinical Social WorkerPA
Clinical Social WorkerCT
Clinical Social WorkerSC
Mental Health CounselorMS
Mental Health CounselorMS
Mental Health CounselorWA
Clinical Social WorkerND
Mental Health CounselorMA
Clinical Social WorkerND

Reviews

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Frequently asked questions

What federal number belongs to BRENDA CANADA?
The federal identifier for BRENDA CANADA is NPI 1235681040.
Is BRENDA CANADA's NPI currently valid?
The extract we use shows BRENDA CANADA as active.
What kind of provider is BRENDA CANADA?
The page reflects Mental Health Counselor for BRENDA CANADA. Clinical services aligned with this taxonomy classification.
Where is BRENDA CANADA's primary listing?
We display Toledo, Ohio because that is what the record indicates for BRENDA CANADA.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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