Amy Gleason

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3003 N Richmond St
Appleton, WI 54911-1148

Phone

(920) 980-8404

NPI assigned

Sep 6, 2019

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lutheran Social Services of Wisconsin and Upper Michigan IncGroup PAC ID 2668383084, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  dba LSS Janesville Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1386719177
  Medicare reassignment Care Compare group NPD
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1194954941
  NPD
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Counselor
  • Beloit, WI
  • NPI 1154663375
  NPD (past)
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  dba Lutheran Social Services of WI and Upper MI Outpatient Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Chippewa Falls, WI
  • NPI 1386969723
  NPD (past)
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  dba Chippewa Area Recovery Resources - EC

  • Addiction (Substance Use Disorder) Counselor
  • Eau Claire, WI
  • NPI 1659446672
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1306495932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111148",
            "telephone_number": "920-980-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia A Gilling, DO
• Melissa J Gitter, COTA/L
• GJB Eeg Services, SC
• GJB Health Services, LLC
• Sarah Glasheen, PHARMD
• Andrew Glodowski
• Leah Marie Glodowski
• Valerie Ann Glodowski, PHARMD
• Tammy Marie Gloede
• Alex Gloudemans

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.