Bethany Hafenstein-Riege

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12371-125 Issued in WI

Practice address

405 E Forest St
Oconomowoc, WI 53066-3707

Phone

(920) 219-2324

NPI assigned

Dec 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1699581975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6287 COUNTY ROAD G",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169687",
            "telephone_number": "920-219-2324"
        },
        {
            "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": "920-219-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFENSTEIN-RIEGE",
        "first_name": "BETHANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12371-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gruetzmacher Groskopf, D.D.S.
• John W. Gucciardi, M.D.
• Angela Gunderson
• Alecia Guttilla, CLD
• Melissa Hackbarth, LPC
• Samuel Hall, MD
• Jerry Lee Halverson, MD
• Elizabeth A Hamlin, MD
• Kim Hannan, LPC
• Richard Morris Hansen, MD

• 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 Feb 17, 2026; 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.