Individual provider Active NPI

Gina Marie Brindowski, LPC, SAC, NCC

  • Professional Counselor
  • Menomonee Falls, WI
National Provider Identifier
1871857516
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5583 Issued in WI
Practice address
N91W17194 Appleton Ave Ste 204
Menomonee Falls, WI 53051-2083
Phone
(414) 502-7780
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15849 WI
Professional Counselor 101YP2500X 5583 WI Primary

Addresses

Primary practice location

N91W17194 Appleton Ave Ste 204
Menomonee Falls, WI 53051-2083

Mailing address

N91W17194 Appleton Ave Ste 204
Menomonee Falls, WI 53051-2083
Phone (414) 502-7780

Other names 1

  • Gina Masulli Former name

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
I20240311003905 WI Practitioner - Mental Health Counselor 7012353162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encompass-Effective Mental Health Services IncGroup PAC ID 0042115016, 8 clinicians

Practice addresses (Care Compare)

12970 W Bluemound Rd
Suite 301
Elm Grove, WI 53122-2607
Phone (414) 453-8380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5583WIMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Counseling LLC Professional CurrentSince Jul 1, 2026 Accepting new patients

Locations

N91W17194 Appleton Ave
Ste 204
Menomonee Falls, WI 53051
Phone (414) 209-4007

Organizations & group practices 2

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1871857516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N91W17194 APPLETON AVE STE 204",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512083",
            "telephone_number": "414-502-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N91W17194 APPLETON AVE STE 204",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512083",
            "telephone_number": "414-502-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDOWSKI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, SAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15849",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MASULLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.