Hanna Bakken, MA
Individual provider Active NPI Professional Counselor · Pewaukee, WI
NPI 1760193494 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1760193494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 10171-125 (WI)
- Practice address
- 353 Forest Grove Dr Ste 100
Pewaukee, WI 53072-3765 - Phone
- (608) 778-7190
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lighthouse Counseling Services LLC
Practice addresses (Care Compare)
353 Forest Grove Dr
Suite 100
Pewaukee, WI 53072-3765
Phone (262) 393-1660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204002171 | WI | Practitioner - Mental Health Counselor | 4981134152 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10171-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Counseling Services, LLC | Professional | Current |
Accepting new patients |
Locations
325 Forest Grove Dr
Ste 201
Pewaukee, WI 53072
Phone (262) 271-5511
353 Forest Grove Dr
Ste 100
Pewaukee, WI 53072
Phone (262) 393-1660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 10171-125 | WI | Yes |
Addresses
Primary practice location
353 Forest Grove Dr Ste 100
Pewaukee, WI 53072-3765
Mailing address
353 Forest Grove Dr Ste 100
Pewaukee, WI 53072-3765
Phone (608) 778-7190
Other providers in Pewaukee, WI
- Nicole Elizabeth Arnold
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- Athletic and Therapeutic Institute of Milwaukee, LLC
- Aurora Pharmacy Inc
- Bailey a Youngblade, LLC
- Caroline Anna Ball
- Barbara C Sieck LLC
- Ann Barbaro
- Barnes Home Care Supply LLC
- Katherine H Barnett
All providers in Pewaukee, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.