Individual provider Active NPI

Cassaundra N Bratz, LPC

  • Professional Counselor
  • Sister Bay, WI
National Provider Identifier
1265077481
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4485-226 Issued in WI
Practice address
2345 Canterbury LN
Sister Bay, WI 54234-5602
Phone
(920) 746-0510
NPI assigned
Nov 12, 2019
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4485-226 WI Primary

Addresses

Primary practice location

2345 Canterbury LN
Sister Bay, WI 54234-5602

Mailing address

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401

Other practice location 1

421 Nebraska St
Sturgeon Bay, WI 54235-2225
Phone (920) 746-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002248 WI Practitioner - Mental Health Counselor 0749623106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Door County Memorial HospitalGroup PAC ID 5395735088, 85 clinicians

Practice addresses (Care Compare)

2345 Canterbury LN
Sister Bay, WI 54234-5602
Phone (920) 868-3511

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4485-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Door County Memorial Hospital CurrentSince Apr 30, 2025 Accepting new patients
County of Door-Door County Library CurrentSince Jan 10, 2024 Accepting new patients
County of Door-Door County Library CurrentSince Jan 10, 2024 Accepting new patients
Door County Memorial Hospital CurrentSince Apr 30, 2025 Accepting new patients

Locations

2345 Canterbury Ln
Sister Bay, WI 54234
Phone (920) 380-9890

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

421 Nebraska St
Sturgeon Bay, WI 54235
Phone (920) 746-2345

Organizations & group practices 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1265077481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 CANTERBURY LN",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542345602",
            "telephone_number": "920-746-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Nebraska St",
            "address_purpose": "LOCATION",
            "city": "Sturgeon Bay",
            "state": "WI",
            "postal_code": "542352225",
            "country_code": "US",
            "telephone_number": "920-746-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATZ",
        "first_name": "CASSAUNDRA",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4485-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sister Bay, WI

Sources for this page

Verify at the official NPI Registry.