Individual provider Active NPI

Risa Lynn Janowski, M.S., L.P.C.

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1942399449
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3096-125 Issued in WI
Practice address
1150 Springhurst Dr Ste 102
Green Bay, WI 54304-5950
Phone
(920) 393-1304
Fax
(920) 338-8181
NPI assigned
Oct 12, 2006
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3096-125 WI 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) 615-6951

Other identifiers 1

IdentifierTypeStateIssuer
40999700MedicaidWI

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
I20250620001248 WI Practitioner - Mental Health Counselor 7810409406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Behavioral HealthGroup PAC ID 2365952066, 3 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3096-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Behavioral Health CurrentSince Apr 7, 2025 Accepting new patients

Locations

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

2270 Holmgren Way
Green Bay, WI 54304
Phone (920) 544-5294

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1942399449",
    "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": "920-615-6951",
            "fax_number": "920-338-8181"
        },
        {
            "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": {
        "last_name": "JANOWSKI",
        "first_name": "RISA",
        "middle_name": "LYNN",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3096-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40999700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.