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TINA MARIE BAETEN LCSW
NPI 1386793248
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since January 09, 2007PECOS Enrolled
2920 S WEBSTER AVE STE B, GREEN BAY, WI 54301(920) 632-4471(920) 632-4315 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tina Marie Baeten Lcsw NPPES

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

TINA MARIE BAETEN LCSW (NPI 1386793248) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (13791) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1386793248
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTINA MARIE BAETENCredential: LCSW
Location Address2920 S WEBSTER AVE STE BGreen Bay, WI 54301-1594
Mailing Address1090 S Tamiami TrlSarasota, FL 34236-9116 · (904) 605-4986 · Fax (941) 460-5599
Phone(920) 632-4471
Fax(920) 632-4315
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1386793248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 13791
2920 S WEBSTER AVE STE B, Green Bay, WI 54301
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Secondary Practice Location 1

Location 1W6144 Aerotech DrAppleton, WI 54914-7503 · Phone (920) 733-2065 · Fax (920) 574-3273

Other Identifiers 1

Medicaid39382000WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Marie Baeten Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224299870
PECOS Enrollment IDI20120409000437
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 Reassignments

2

Medicare enrollment records show Tina Marie Baeten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

In Focus Counseling, LLC
2.2 mi
Mental Health
320 MAIN AVE STE 202A
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Infocus Counseling LLC
NPI 1477285260 (920) 217-5871
Drg Clinical, Sc
81 mi
Psychiatry
5703 MEMORIAL CT
Weston, WI 54476
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group
NPI 1255048633 (715) 204-9808

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 2

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

OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Psychologist (Counseling)
2920 S WEBSTER AVE STE B
GREEN BAY, WI 54301
Brown County (920) 733-2065
MS. VALORIE ANNE HELANDER LCSW
Social Worker (Clinical)
2920 S WEBSTER AVE STE B
GREEN BAY, WI 54301
Brown County (920) 733-2065

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 Tina Marie Baeten's NPI number?

The NPI number for Tina Marie Baeten is 1386793248. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Tina Marie Baeten located?

Tina Marie Baeten practices at 2920 S Webster Ave Ste B, Green Bay, WI 54301. The listed phone number is (920) 632-4471.

What is Tina Marie Baeten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tina Marie Baeten enrolled in Medicare?

Yes. Tina Marie Baeten is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tina Marie Baeten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Marie Baeten reassigns Medicare benefits to 2 organizations: In Focus Counseling, LLC (De Pere, WI) and Drg Clinical, Sc (Weston, WI). Each 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 Tina Marie Baeten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Marie Baeten accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, HealthPartners and Security Health Plan and 1 other insurer list Tina Marie Baeten 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 Tina Marie Baeten was last updated on December 6, 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.