Active NPI
Jan Gainer
- Professional Counselor
- Racine, WI
National Provider Identifier
1598880163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 546
- Practice address
- 9301 Washington Ave
Racine, WI 53406-3752 - Phone
- (262) 687-8611
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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.
-
- Community/Retail Pharmacy
- Mount Pleasant, WI
- NPI 1164522132
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11265 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 546 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension All Saints Hospital, Inc | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11265 | WI | |
| Professional Counselor | 101YP2500X | 546 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9301 Washington Ave
Racine, WI 53406-3752
Mailing address
9301 Washington Ave
Racine, WI 53406-3752
Phone (262) 687-8611
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11013500 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Janice Bade
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1598880163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 WASHINGTON AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534063752",
"telephone_number": "262-687-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WASHINGTON AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534063752",
"telephone_number": "262-687-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINER",
"first_name": "JAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "11265",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11013500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "BADE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.