Individual provider Active NPI

Janel Gassner, MS

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
National Provider Identifier
1447635701
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17283 Issued in WI
Practice address
2266 N Prospect Ave Ste 326
Milwaukee, WI 53202-6323
Phone
(414) 224-0492
Fax
(414) 224-8112
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 101YA0400X WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 17283 WI Primary

Addresses

Primary practice location

2266 N Prospect Ave Ste 326
Milwaukee, WI 53202-6323

Mailing address

2266 N Prospect Ave Ste 326
Milwaukee, WI 53202-6323
Phone (414) 224-0492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17283WIMDAddiction (Substance Use Disorder) Counselor
101YA0400XWIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenswood Clinic Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1447635701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE STE 326",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026323",
            "telephone_number": "414-224-0492",
            "fax_number": "414-224-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE STE 326",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026323",
            "telephone_number": "414-224-0492",
            "fax_number": "414-224-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSNER",
        "first_name": "JANEL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "101YA0400X",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.