JUSTINE MARIE GARBACIAK M.S.
NPI 1235294612
Counselor - Professional in De Pere, WI

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
301 N BROADWAY STE 110, DE PERE, WI 54115(920) 370-7167 Get Directions Write a Review

NPPES record last updated: November 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2022, Oct 28, 2018 (2 updates tracked since 2018).

About Justine Marie Garbaciak M.s. NPPES

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

JUSTINE MARIE GARBACIAK M.S. (NPI 1235294612) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (3839) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1235294612
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTINE MARIE GARBACIAKCredential: M.S.
Location Address301 N BROADWAY STE 110De Pere, WI 54115-2571
Mailing Address3454 Elmtree RdSuamico, WI 54313-8339 · (920) 639-1032
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 26, 2006
Last NPPES UpdateNovember 12, 20222 updates tracked since enumeration
NPPES CertifiedNovember 12, 2022
NPI 1235294612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 3839
301 N BROADWAY STE 110, De Pere, WI 54115

Other Names 1

Former Name (1)Justine Marie Thyne M.s.

Secondary Practice Location 1

Location 1101 W Edison Ave Ste 113Appleton, WI 54915-1395 · Phone (920) 370-7167

Other Identifiers 1

Medicaid43710000WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justine Marie Garbaciak M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840663605
PECOS Enrollment IDI20240417002340
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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Adult Mental Health)
301 N BROADWAY STE 110
DE PERE, WI 54115
Counselor (Mental Health)
301 N BROADWAY STE 110
DE PERE, WI 54115

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 Justine Garbaciak's NPI number?

The NPI number for Justine Garbaciak is 1235294612. It was assigned to this individual provider in the NPPES registry on December 26, 2006. The provider is also known as Justine Marie Thyne M.S..

Where is Justine Garbaciak located?

Justine Garbaciak practices at 301 N Broadway Ste 110, De Pere, WI 54115. The listed phone number is (920) 370-7167.

What is Justine Garbaciak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Justine Garbaciak enrolled in Medicare?

Yes. Justine Garbaciak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justine Garbaciak accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list Justine Garbaciak 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 Justine Garbaciak was last updated on November 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.