LISA BREDAEL
NPI 1003978859
Counselor in Menasha, WI

Active since December 15, 2006PECOS Enrolled
1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Bredael NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BREDAEL (NPI 1003978859) is an individual counselor in Menasha, Wisconsin, licensed in Wisconsin (3081) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003978859
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA BREDAEL
Location Address1095 MIDWAY RDMenasha, WI 54952-1115
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 720-2300
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1003978859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 3081
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1095 MIDWAY RD, Menasha, WI 54952

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Bredael is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Bredael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Psychiatry & Neurology (Psychiatry)
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Psychologist (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952
Social Worker
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Social Worker (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Professional)
1095 MIDWAY RD
MENASHA, WI 54952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bredael's NPI number?

The NPI number for Lisa Bredael is 1003978859. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Lisa Bredael located?

Lisa Bredael practices at 1095 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 720-2300.

What is Lisa Bredael's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa Bredael enrolled in Medicare?

Yes. Lisa Bredael is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Bredael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bredael reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bredael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Bredael accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Lisa Bredael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Bredael was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.