Melissa Hackbarth, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11378-125 Issued in WI

Practice address

405 E Forest St
Oconomowoc, WI 53066-3707

Phone

(920) 428-3379

NPI assigned

Aug 17, 2022

Last updated

Oct 27, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1568180446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST STE 117",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707",
            "telephone_number": "920-428-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKBARTH",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5350-226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11378-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Groehler, RN
• Kelly Gruetzmacher Groskopf, D.D.S.
• John W. Gucciardi, M.D.
• Angela Gunderson
• Alecia Guttilla, CLD
• Bethany Hafenstein-Riege
• Samuel Hall, MD
• Jerry Lee Halverson, MD
• Elizabeth A Hamlin, MD
• Kim Hannan, LPC

• Mental Health Counselor in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.