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Gloria Jean Bannasch , LPC

Counselor - Professional β€’ Appleton, WI

Active NPI 1477876308 Individual Practitioner Female Practitioner Telehealth (some services)
Practice location in NPPES

2323 W Everett St
Appleton, WI 549144749

Call 9202177861 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2323 W Everett St

Appleton, WI 549144749

Telephone 9202177861
Fax 9205606618
Organization at the Same NPPES Address or Phone
Gjb Health Services, Llc Facility NPI 1659711687

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1981

Years since graduation

45 years (graduated 1981)

CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gloria Bannasch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Gloria Bannasch as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 4281-125
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00613383 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240215003305

Enrollment State Jurisdiction

WI

PECOS Control ID

2567775570

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1477727097

Master of Social Work, LCSWSAS, CCTP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 07, 2025

Registered at 2323 W EVERETT ST, APPLETON, WI 549144749 (Tel: 9202177861)

πŸ“
Updated Business Mailing Address January 07, 2025

Registered at 2323 W EVERETT ST, APPLETON, WI 549144749 (Tel: 9202177861)

πŸ“
Updated Practice Location December 29, 2021

Registered at 711 N LYNNDALE DR STE 1A, APPLETON, WI 549143078 (Tel: 9202177861)

πŸ“
Updated Business Mailing Address December 29, 2021

Registered at 711 N LYNNDALE DR STE 1A, APPLETON, WI 549143078 (Tel: 9202177861)

βœ…
NPI Profile Active March 06, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 06, 2010

Registered at N349 FIELDSIDE LN, APPLETON, WI 549158740 (Tel: 9202177861)

πŸ“
Business Mailing Address (Initial Record) March 06, 2010

Registered at PO BOX 84, COMBINED LOCKS, WI 541130084 (Tel: 9202177861)

πŸ‘€
Provider Name / Credentials (Initial Record) March 06, 2010

Recorded as GLORIA BANNASCH, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2010

Counselor (license number reported to NPPES: WI 4281-125)

🟒
Initial NPI Registration & Enumeration March 06, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477876308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2010
Last Update: January 07, 2025
Sole Proprietor: Yes

Mailing Address

2323 W Everett St

Appleton, WI 549144749

Phone: 9202177861

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.