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CASSANDRA T WYGLE MA LPC-T
NPI 1629719398
Counselor - Mental Health in Green Bay, WI

Active since April 05, 2022PECOS Enrolled
300 CROOKS ST, GREEN BAY, WI 54301(920) 436-6800(920) 432-5966 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cassandra T Wygle Ma Lpc-t NPPES

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

CASSANDRA T WYGLE MA LPC-T (NPI 1629719398) is an individual mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (5283) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629719398
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSANDRA T WYGLECredential: MA LPC-T
Location Address300 CROOKS STGreen Bay, WI 54301-4527
Mailing AddressPo Box 22308Green Bay, WI 54305-2308 · (920) 436-6800 · Fax (920) 432-5966
Phone(920) 436-6800
Fax(920) 432-5966
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1629719398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 5283
300 CROOKS ST, Green Bay, WI 54301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra T Wygle Ma Lpc-t is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597248427
PECOS Enrollment IDI20260310001873
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 Cassandra Wygle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Concern-Professional Services For Children, Youth & Families
574 mi
Community/Behavioral Health
85 1/2 CENTRAL AVE
Wellsboro, PA 16901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
NPI 1942131818 (570) 724-7142

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 20

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

JAYNE E VON DER LINDEN MSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
BRENDA J MALCOREQ BS
Social Worker
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
REBECCA MARIE BARRETT MSW APSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
KATHRYN HERMAN
Counselor (Professional)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
MADYSEN J THAYSE MSW, APSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
CLARISSA DETRIE MSW
Counselor (Mental Health)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
JENNIFER HARRIS-FORBES
Counselor (Professional)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-4360
MICHELLE GAUGER MSE, LPC, SAC
Counselor (Addiction (Substance Use Disorder))
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800

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 Cassandra Wygle's NPI number?

The NPI number for Cassandra Wygle is 1629719398. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Cassandra Wygle located?

Cassandra Wygle practices at 300 Crooks St, Green Bay, WI 54301. The listed phone number is (920) 436-6800.

What is Cassandra Wygle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cassandra Wygle enrolled in Medicare?

Yes. Cassandra Wygle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Wygle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Wygle reassigns Medicare benefits to Concern-Professional Services For Children, Youth & Families (Wellsboro, PA). 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 Cassandra Wygle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cassandra Wygle was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.