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SHANNON BROEKER LPC
NPI 1386488955
Counselor - Professional in Port Washington, WI

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
1317 W GRAND AVE STE 6, PORT WASHINGTON, WI 53074(262) 427-8905 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Nov 6, 2025, Sep 3, 2025 and 1 more (4 updates tracked since 2024).

About Shannon Broeker Lpc NPPES

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

SHANNON BROEKER LPC (NPI 1386488955) is an individual professional provider in Port Washington, Wisconsin, licensed in Wisconsin (11969-125) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386488955
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON BROEKERCredential: LPC
Location Address1317 W GRAND AVE STE 6Port Washington, WI 53074-2075
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(262) 427-8905
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 19, 2024
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1386488955 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 · 11969-125
1317 W GRAND AVE STE 6, Port Washington, WI 53074
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Other Identifiers 3

Other11969WI · Counselor
Other7529WI · State Of Wisonsin
Other11969WI · Stateofwisconsin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Network Health and more.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

Shannon Broeker Lpc 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 ID9234624115
PECOS Enrollment IDI20251218000642
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 12

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

AUSTIN SCHULTZ LPC
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 427-8905
MARISSA ALEXANDRA DUNCAN LPC
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 427-8905
MRS. CAROL L RAMOS LPC
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 999-3495
MS. KALLYN HEIGES LPC
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 427-8905
MRS. BETH ANN STRICKLAND LMFT
Marriage & Family Therapist
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 427-8905
JAMIE M FREUND LPC
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 427-8905
BRITTANY SCHWARTEN LCSW
Social Worker (Clinical)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (624) 278-9052
DAWN WITTIG APNP
Nurse Practitioner (Psychiatric/Mental Health)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Ozaukee County (262) 427-8905

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 Shannon Broeker's NPI number?

The NPI number for Shannon Broeker is 1386488955. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Shannon Broeker located?

Shannon Broeker practices at 1317 W Grand Ave Ste 6, Port Washington, WI 53074. The listed phone number is (262) 427-8905.

What is Shannon Broeker's specialty?

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

Is Shannon Broeker enrolled in Medicare?

Yes. Shannon Broeker 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 Shannon Broeker accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Network Health, Quartz and UnitedHealthcare list Shannon Broeker 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 Shannon Broeker was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.