MARISSA A GAEDTKE MA, LPC
NPI 1629755889
Counselor - Professional in Brookfield, WI

Active since June 29, 2023PECOS EnrolledAccepts Medicare Assignment
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005(262) 789-1191 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Marissa A Gaedtke Ma, Lpc NPPES

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

MARISSA A GAEDTKE MA, LPC (NPI 1629755889) is an individual professional provider in Brookfield, Wisconsin, licensed in Wisconsin (10856-125) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629755889
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA A GAEDTKECredential: MA, LPC
Location Address16535 W BLUEMOUND RD STE 200Brookfield, WI 53005-5906
Mailing Address1501 Airport RdWaukesha, WI 53188-2461
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 29, 2023
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1629755889 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 · 10856-125
16535 W BLUEMOUND RD STE 200, Brookfield, WI 53005

Other Names 1

Former Name (1)Marissa A Schmidt Ma, Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa A Gaedtke Ma, Lpc 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 ID42655573
PECOS Enrollment IDI20240223003267
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 Marissa Gaedtke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
514 RIVERVIEW AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 80 clinicians in this Medicare group

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.

Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Dietitian, Registered
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Social Worker (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005

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 Marissa Gaedtke's NPI number?

The NPI number for Marissa Gaedtke is 1629755889. It was assigned to this individual provider in the NPPES registry on June 29, 2023. The provider is also known as Marissa A Schmidt Ma, Lpc.

Where is Marissa Gaedtke located?

Marissa Gaedtke practices at 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005. The listed phone number is (262) 789-1191.

What is Marissa Gaedtke's specialty?

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

Is Marissa Gaedtke enrolled in Medicare?

Yes. Marissa Gaedtke 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.

Which organizations bill Medicare for Marissa Gaedtke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Gaedtke reassigns Medicare benefits to 2 organizations: Cornerstone Counseling Services, Inc (Brookfield, WI) and Waukesha County (Waukesha, 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 Marissa Gaedtke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Gaedtke accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Medica and 3 other insurers list Marissa Gaedtke 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 Marissa Gaedtke was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.