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CASSANDRA GILLEN LPC
NPI 1245058130
Counselor - Professional in Kenosha, WI

Active since September 30, 2024PECOS Enrolled
4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cassandra Gillen Lpc NPPES

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

CASSANDRA GILLEN LPC (NPI 1245058130) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (11254-125) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245058130
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSANDRA GILLENCredential: LPC
Location Address4536 22ND AVEKenosha, WI 53140-5917
Mailing Address4536 22nd AveKenosha, WI 53140-5917 · (262) 488-3265
Phone(262) 656-0044
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1245058130 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 · 11254-125
4536 22ND AVE, Kenosha, WI 53140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Gillen Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052844867
PECOS Enrollment IDI20241101000248
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 Cassandra Gillen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kenosha Community Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
4536 22ND AVE
Kenosha, WI 53140
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
NPI 1265435960 (262) 656-0044

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.

DR. CESAR D GONZALEZ DDS
Dentist (Pediatric Dentistry)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DIANE E KOSAR
Dental Hygienist
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. HAZEL E MOORE DDS
Dentist (General Practice)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. MICHAEL MATTHEW MIHAJLOVIC PSYD
Psychologist (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MANUEL A. RIVERA M.D.
Internal Medicine
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
FAYA KACOS-SHIU LCSW
Social Worker (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
KENOSHA COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MELISSA PESTKA
Nurse Practitioner (Family)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044

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 Cassandra Gillen's NPI number?

The NPI number for Cassandra Gillen is 1245058130. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Cassandra Gillen located?

Cassandra Gillen practices at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 656-0044.

What is Cassandra Gillen's specialty?

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

Is Cassandra Gillen enrolled in Medicare?

Yes. Cassandra Gillen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Gillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Gillen reassigns Medicare benefits to Kenosha Community Health Center, Inc. (Kenosha, 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 Cassandra Gillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassandra Gillen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Cassandra Gillen 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 Cassandra Gillen was last updated on September 30, 2024. 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.