Organization Active NPI

Bay Area Behavioral Health

  • Community/Behavioral Health Agency
  • Green Bay, WI
National Provider Identifier
1881437754
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BAY AREA BEHAVIORAL HEALTH
Practice address
1150 Springhurst Dr Ste 102
Green Bay, WI 54304-5950
Phone
(920) 393-1304
Fax
(920) 338-8181
NPI assigned
Jun 17, 2024
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Risa Lynn Janowski, MS, LPCNPI 1942399449
Title
Owner/Clinical Therapist
Phone
(920) 615-6951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1150 Springhurst Dr Ste 102
Green Bay, WI 54304-5950

Mailing address

1150 Springhurst Dr Ste 102
Green Bay, WI 54304-5950
Phone (920) 393-1304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250611002313 WI Part B Supplier - Clinic/Group Practice 2365952066 Receives reassigned benefits from 5 practitioners
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

1150 Springhurst Dr
Ste 102
Green Bay, WI 54304
Phone (920) 393-1304

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1881437754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SPRINGHURST DR STE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045950",
            "telephone_number": "920-393-1304",
            "fax_number": "920-383-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SPRINGHURST DR STE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045950",
            "telephone_number": "920-393-1304",
            "fax_number": "920-338-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "JANOWSKI",
        "authorized_official_first_name": "RISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "920-615-6951",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.