Allysen Bares, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8578-125 Issued in WI

Practice address

3475 Omro Rd Ste 400
Oshkosh, WI 54904-7126

Phone

(920) 267-3470

Fax

(920) 267-3480

NPI assigned

Jun 3, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Serene Connections Counseling

  • Clinical Social Worker
  • Ripon, WI
  • NPI 1366299166
  NPD
• Shaffer Counseling & Consulting

  • Clinical Social Worker
  • Oshkosh, WI
  • NPI 1184230351
  NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1962026161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WATSON ST STE D",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711516",
            "telephone_number": "929-896-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 OMRO RD STE 400",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047126",
            "telephone_number": "920-267-3470",
            "fax_number": "920-267-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Watson St Ste D",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "WI",
            "postal_code": "549711516",
            "country_code": "US",
            "telephone_number": "929-896-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARES",
        "first_name": "ALLYSEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8578-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100160777",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balke Counseling, LLC
• Heidi Balke
• Stacy Bamberg, LCSW
• Samantha Marie Barber
• Christopher M. Barczak
• Mackenzie Barker, APNP, PMHNP-BC
• Jeffrey James Barnes, ATC, LAT, CSCS
• Kent Douglas Barnes, BS, LADC
• Kristina Marie Barrett, DPT
• Tyler W Barrett, PT

• Professional Counselor in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.