Individual provider Active NPI

Heidi Marie Wennesheimer

  • Mental Health Counselor
  • Green Bay, WI
National Provider Identifier
1689236531
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1234 Main St Ste 21
Green Bay, WI 54302-1307
Phone
(920) 360-0241
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1234 Main St Ste 21
Green Bay, WI 54302-1307

Mailing address

1234 Main St Ste 21
Green Bay, WI 54302-1307
Phone (920) 360-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421001114 WI Practitioner - Mental Health Counselor 5991220154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1375 N Rd
Green Bay, WI 54313-5723
Phone (920) 562-1699

2670 S Ashland Ave
Suite 102
Ashwaubenon, WI 54304-5369
Phone (920) 562-1699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wennesheimer Therapy Solutions LLC Mental Health CurrentSince Feb 16, 2025 Accepting new patients

Locations

2670 S Ashland Ave
Ste 102
Green Bay, WI 54304
Phone (920) 562-1699

1375 North Rd
Green Bay, WI 54313
Phone (920) 562-1699

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1689236531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST STE 21",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021307",
            "telephone_number": "920-360-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST STE 21",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021307",
            "telephone_number": "920-360-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNESHEIMER",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.