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GENOA HARTMANN
NPI 1417715020
Counselor in Appleton, WI

Active since March 08, 2024PECOS EnrolledAccepts Medicare Assignment
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913(443) 805-8677 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genoa Hartmann NPPES

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

GENOA HARTMANN (NPI 1417715020) is an individual counselor in Appleton, Wisconsin, licensed in Wisconsin (2382124) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sparta, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417715020
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameGENOA HARTMANN
Location Address2800 E ENTERPRISE AVE STE 333Appleton, WI 54913-7889
Mailing Address902 Goodman Ct NSparta, WI 54656-1011 · (443) 805-8677
Phone(443) 805-8677
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 8, 2024
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1417715020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 2382124
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2800 E ENTERPRISE AVE STE 333, Appleton, WI 54913
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Secondary Practice Location 1

Location 1402 S Black River St Ste 125Sparta, WI 54656-2043 · Phone (608) 501-1189

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

Genoa Hartmann 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 ID345749966
PECOS Enrollment IDI20250820000635
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 20

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

GREENING HOME HEALTHCARE LLC
Custodial Care Facility (Adult Care Home)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (763) 485-1011
MOBILITY TRANSPORT SERVICES LLC
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (603) 315-8068
INNOVATIVE MINDS ABA OF WISCONSIN, LTD.
Behavior Analyst
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (559) 977-7321
360 MEDICAL GROUP WISCONSIN SC
Family Medicine
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (551) 372-9260
SOUND MIND LLC
Social Worker (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (847) 770-3752
LAUREN RAE BRAUN LPC
Counselor (Mental Health)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (608) 515-8265
ATLASCARE LLC
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (614) 632-9787
DR. ALEV G ILDIZ PSYD
Psychologist (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (414) 502-9023

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 Genoa Hartmann's NPI number?

The NPI number for Genoa Hartmann is 1417715020. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Genoa Hartmann located?

Genoa Hartmann practices at 2800 E Enterprise Ave Ste 333, Appleton, WI 54913. The listed phone number is (443) 805-8677.

What is Genoa Hartmann's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Genoa Hartmann enrolled in Medicare?

Yes. Genoa Hartmann 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.

When was this NPI record last updated?

The NPPES record for Genoa Hartmann was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.