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ANNA J HETTERMANN LPC
NPI 1598390569
Counselor - Professional in Kenosha, WI

Active since March 10, 2020PECOS Enrolled
4003 80TH ST STE 101, KENOSHA, WI 53142(262) 806-1467(262) 661-7702 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 27, 2023, Mar 10, 2020 (2 updates tracked since 2020).

About Anna J Hettermann Lpc NPPES

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

ANNA J HETTERMANN LPC (NPI 1598390569) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (7717-125) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598390569
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANNA J HETTERMANNCredential: LPC
Location Address4003 80TH ST STE 101Kenosha, WI 53142-4995
Mailing Address4003 80th St Ste 101Kenosha, WI 53142-4995 · (262) 806-1467 · Fax (262) 661-7702
Phone(262) 806-1467
Fax(262) 661-7702
Sole ProprietorYes
Enumeration DateMarch 10, 2020
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1598390569 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 · 7717-125
4003 80TH ST STE 101, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 1

Medicaid1598390569WI

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), Medica 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)

Anna J Hettermann Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Anna Hettermann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guided Wellness Counseling
1.5 mi
Community/Behavioral Health
6032 40TH AVE
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 clinicians in this Medicare group
NPI 1093182941 (262) 287-1999

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

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

ALEXANDER QUENTIN BEAL LPC
Counselor (Professional)
4003 80TH ST STE 101
KENOSHA, WI 53142
Kenosha County (262) 806-1467

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 Anna Hettermann's NPI number?

The NPI number for Anna Hettermann is 1598390569. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Anna Hettermann located?

Anna Hettermann practices at 4003 80th St Ste 101, Kenosha, WI 53142. The listed phone number is (262) 806-1467.

What is Anna Hettermann's specialty?

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

Is Anna Hettermann enrolled in Medicare?

Yes. Anna Hettermann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Hettermann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Hettermann reassigns Medicare benefits to Guided Wellness Counseling (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 Anna Hettermann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Hettermann accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Anna Hettermann 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 Anna Hettermann was last updated on March 27, 2023. 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.