MEDICARE: MRS. BRENDA ANN KOST LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LCSW-475	WY

General Provider Information

NPI Number	:	1639011299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRENDA ANN KOST LCSW

Provider Business Mailing Address
First Line	:	5526 MOUNTAIN WAY
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-6901
Country	:	US
Telephone Number	:	307-267-0879
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 S DAVID ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-3736
Country	:	US
Telephone Number	:	307-237-5750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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