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MRS. GLORIA JEAN BANNASCH LPC
NPI 1477876308
Counselor - Professional in Appleton, WI

Active since March 06, 2010PECOS Enrolled
2323 W EVERETT ST, APPLETON, WI 54914(920) 217-7861(920) 560-6618 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2025, Dec 29, 2021 (2 updates tracked since 2021).

About Mrs. Gloria Jean Bannasch Lpc NPPES

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

MRS. GLORIA JEAN BANNASCH LPC (NPI 1477876308) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (4281-125) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1477876308
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. GLORIA JEAN BANNASCHCredential: LPC
Location Address2323 W EVERETT STAppleton, WI 54914-4749
Mailing Address2323 W Everett StAppleton, WI 54914-4749 · (920) 217-7861 · Fax (920) 560-6618
Phone(920) 217-7861
Fax(920) 560-6618
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateMarch 6, 2010
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1477876308 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 · 4281-125
2323 W EVERETT ST, Appleton, WI 54914
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Gloria Jean Bannasch M.ed.,lpc, Ncc

Other Identifiers 1

Medicaid00613383WI

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), 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)

Mrs. Gloria Jean Bannasch Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567775570
PECOS Enrollment IDI20240215003305
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 Gloria Bannasch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gjb Health Services, LLC
Same address
Psychologist
2323 W EVERETT ST
Appleton, WI 54914
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1659711687 (920) 560-4585

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 4

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

MS. JILLIAN ROTZENBERG LPC
Counselor (Professional)
2323 W EVERETT ST
APPLETON, WI 54914
Outagamie County (920) 560-4525
MR. BENJAMIN R CHENEY MSW, LCSW-SAS, CCTP
Social Worker (Clinical)
2323 W EVERETT ST
APPLETON, WI 54914
Outagamie County (920) 490-3790
GJB HEALTH SERVICES, LLC
Psychologist
2323 W EVERETT ST
APPLETON, WI 54914
Outagamie County (920) 560-4585
TINA CAZZOLA
Counselor (Addiction (Substance Use Disorder))
2323 W EVERETT ST
APPLETON, WI 54914
Outagamie County (920) 560-4525

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 Gloria Bannasch's NPI number?

The NPI number for Gloria Bannasch is 1477876308. It was assigned to this individual provider in the NPPES registry on March 6, 2010. The provider is also known as Mrs. Gloria Jean Bannasch M.Ed.,lpc, Ncc.

Where is Gloria Bannasch located?

Gloria Bannasch practices at 2323 W Everett St, Appleton, WI 54914. The listed phone number is (920) 217-7861.

What is Gloria Bannasch's specialty?

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

Is Gloria Bannasch enrolled in Medicare?

Yes. Gloria Bannasch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gloria Bannasch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Bannasch reassigns Medicare benefits to Gjb Health Services, LLC (Appleton, 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 Gloria Bannasch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gloria Bannasch accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Medica and Network Health and 2 other insurers list Gloria Bannasch 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 Gloria Bannasch was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.