1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Community Behavioral Health
  6. NPI Profile

SPECTRUM BEHAVIORAL HEALTH LLC
NPI 1053718890
Community/Behavioral Health in Green Bay, WI

Active since November 21, 2014
1496 BELLEVUE ST, SUITE 101, GREEN BAY, WI 54311(920) 784-2644 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Spectrum Behavioral Health Llc NPPES

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

SPECTRUM BEHAVIORAL HEALTH LLC (NPI 1053718890) is a healthcare organization registered as a community/behavioral health in Green Bay, Wisconsin and active in the NPI registry since November 2014. The organization lists Linda A Carmody, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1053718890
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSPECTRUM BEHAVIORAL HEALTH LLC
Location Address1496 BELLEVUE ST, SUITE 101Green Bay, WI 54311-4205
Mailing Address1496 Bellevue St, Suite 101Green Bay, WI 54311-4205 · (920) 784-2644
Phone(920) 784-2644
Organization SubpartNo
Authorized OfficialLinda A CarmodyClinic Director · (920) 784-2646
Enumeration DateNovember 21, 2014
Last NPPES UpdateJune 17, 2015
✔ NPI 1053718890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WI · 4151-125
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 1826-33 (WI)
1496 BELLEVUE ST, Green Bay, WI 54311
Open in Google Maps ↗

Other Identifiers 1

Medicaid100043151WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spectrum Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Allison Pohlman, LCSW
Clinical Social Worker
NPI 1184922940
1496 BELLEVUE ST SUITE 101
Green Bay, WI 54311
(920) 784-2644
✔ PECOS✔ Accepts MedicareSame address
Carrie Ison, LCSW,SAC
Clinical Social Worker
NPI 1083039259
301 E SAINT JOSEPH ST
Green Bay, WI 54301
(920) 433-3630
✔ PECOS✔ Accepts Medicare1.5 mi

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

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 Spectrum Behavioral Health LLC's NPI number?

The NPI number for Spectrum Behavioral Health LLC is 1053718890. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Spectrum Behavioral Health LLC located?

Spectrum Behavioral Health LLC is located at 1496 Bellevue St Suite 101, Green Bay, WI 54311. The listed phone number is (920) 784-2644.

What is Spectrum Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Spectrum Behavioral Health LLC enrolled in Medicare?

Yes. Spectrum Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spectrum Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Spectrum Behavioral Health LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spectrum Behavioral Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Security Health Plan list Spectrum Behavioral Health LLC 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 Spectrum Behavioral Health LLC was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.