Carrie Jean Banaszak, LPC
Individual provider Active NPI Professional Counselor · Franklin, WI
NPI 1144600149 · NPPES record last updated Oct 3, 2025
Key facts
- NPI
- 1144600149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6867-125 (WI)
- Practice address
- 9809 S Franklin Dr Ste 302
Franklin, WI 53132-8885 - Phone
- (262) 999-3495
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251015003124 | WI | Practitioner - Mental Health Counselor | 0446747174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2259-226 | WI | MD | Professional Counselor |
| 6867-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current |
Accepting new patients | |
| Power for Change, LLC | Current |
Accepting new patients | |
| Knueppel Healthcare Services, Inc. | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
9809 S Franklin Dr
Ste 302
Franklin, WI 53132
Phone (253) 372-8662
123 N Oakland Ave
Green Bay, WI 54303
Phone (920) 770-4088
1039 W Mason St
Green Bay, WI 54303
Phone (920) 965-7707
1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6867-125 | WI | Yes |
| Professional Counselor | 101YP2500X | 2259-226 | WI |
Addresses
Primary practice location
9809 S Franklin Dr Ste 302
Franklin, WI 53132-8885
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (262) 999-3495
Other practice location 1
1200 S. 114th Street
West Allis, WI 53214
Phone (262) 510-1152
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100055240 | Medicaid | WI |
Other providers in Franklin, WI
- Samiha Naser Badwan
- Baggio Chiropractic Inc
- Angela L Baker-Franckowiak
- Deborah Jean Baker
- Linda Marie Ballmann
- Munther A Barakat
- John Patrick Barbian
- Todd T. Barnhardt
- Kayla Barnhart
- Carmela A Barr
All providers in Franklin, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.