Individual provider Active NPI

Blanche Schafer, LPC

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1669619920
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6211 Issued in WI
Practice address
2050 Riverside Dr Ste 108
Green Bay, WI 54301-2364
Phone
(920) 785-8560
Fax
(920) 391-5099
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6211 WI Primary

Addresses

Primary practice location

2050 Riverside Dr Ste 108
Green Bay, WI 54301-2364

Mailing address

2050 Riverside Dr Ste 108
Green Bay, WI 54301-2364
Phone (920) 785-8560

Other identifiers 1

IdentifierTypeStateIssuer
1669619920MedicaidWI

Other names 1

  • Blanche Gucwa/Krull Former name

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
6211WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Futures Counseling Services, LLC Professional CurrentSince Feb 23, 2025 Accepting new patients

Locations

2050 Riverside Dr
Ste 108
Green Bay, WI 54301
Phone (920) 785-8560

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1669619920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 RIVERSIDE DR STE 108",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012364",
            "telephone_number": "920-785-8560",
            "fax_number": "920-391-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 RIVERSIDE DR STE 108",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012364",
            "telephone_number": "920-785-8560",
            "fax_number": "920-391-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "BLANCHE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669619920",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCHE",
            "last_name": "GUCWA/KRULL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.