Individual provider Active NPI

Cassie Mortensen, LPC, BCBA

  • Professional Counselor
  • Waunakee, WI
National Provider Identifier
1043851603
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8716 Issued in WI
Practice address
101 E Main St Ste 4
Waunakee, WI 53597-1196
Phone
(608) 285-2131
Fax
(608) 850-9315
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8716WIMDProfessional Counselor
319-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Life Consulting CurrentSince Jul 8, 2026 Accepting new patients
Trailways LLC CurrentSince Jul 8, 2026 Accepting new patients
Integrated Developmental Services, Inc PastSince Oct 6, 2019 Accepting new patients

Locations

101 E Main St
Ste 4
Waunakee, WI 53597
Phone (608) 205-8560

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 319-140 WI
Professional Counselor 101YP2500X 8716 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

101 E Main St Ste 4
Waunakee, WI 53597-1196

Mailing address

101 E Main St Ste 4
Waunakee, WI 53597-1196
Phone (608) 285-2131

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2026.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1043851603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 4",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971196",
            "telephone_number": "608-285-2131",
            "fax_number": "608-850-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 4",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971196",
            "telephone_number": "608-285-2131",
            "fax_number": "608-850-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "CASSIE",
        "credential": "LPC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "319-140",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waunakee, WI

Sources for this page

Verify at the official NPI Registry.