Individual provider Active NPI

Janice A Gnas, MS.MBA.LPC.NCC.BCC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1487714705
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
659-125 Issued in WI
Practice address
611 N Mayfair Rd
Upper Level
Milwaukee, WI 53226-4248
Phone
(414) 704-2104
Fax
(888) 731-8368
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11514 WI
Professional Counselor 101YP2500X 659-125 WI Primary
Counselor 101Y00000X 228871 WI

Addresses

Primary practice location

611 N Mayfair Rd
Upper Level
Milwaukee, WI 53226-4248

Mailing address

PO Box 510711
Milwaukee, WI 53203-0121
Phone (414) 704-2104

Other identifiers 1

IdentifierTypeStateIssuer
39659600MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
228871WIMDCounselor
11514WIMDAddiction (Substance Use Disorder) Counselor
659-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Star Consulting & Associates, LLC, Star Consulting for the Workplace Professional 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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1487714705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510711",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532030121",
            "telephone_number": "414-704-2104",
            "fax_number": "888-731-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAYFAIR RD",
            "address_2": "UPPER LEVEL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264248",
            "telephone_number": "414-704-2104",
            "fax_number": "888-731-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNAS",
        "first_name": "JANICE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS.MBA.LPC.NCC.BCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11514",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "659-125",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "228871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39659600",
            "state": "WI"
        }
    ],
    "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 May 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.