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MR. BRODY THOMAS FANSHAW MS, LPC
NPI 1689390981
Counselor - Mental Health in Sun Prairie, WI

Active since October 18, 2022PECOS Enrolled
121 S BRISTOL ST STE 102, SUN PRAIRIE, WI 53590(608) 285-2911 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Mr. Brody Thomas Fanshaw Ms, Lpc NPPES

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

MR. BRODY THOMAS FANSHAW MS, LPC (NPI 1689390981) is an individual mental health provider in Sun Prairie, Wisconsin, licensed in Wisconsin (7151-226) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689390981
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRODY THOMAS FANSHAWCredential: MS, LPC
Location Address121 S BRISTOL ST STE 102Sun Prairie, WI 53590-2995
Mailing Address6408 Bridge Rd Apt 245Monona, WI 53713-1832 · (608) 285-2911
Phone(608) 285-2911
Sole ProprietorYes
Enumeration DateOctober 18, 2022
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1689390981 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 · 7151-226
121 S BRISTOL ST STE 102, Sun Prairie, WI 53590
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW 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)

Mr. Brody Thomas Fanshaw Ms, 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 Brody Fanshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Insight Counseling & Wellness, LLC
9.6 mi
Mental Health (Including Community Mental Health Center)
1943 WINNEBAGO ST
Madison, WI 53704
  • Reassigned Medicare billing, Wisconsin enrollment
  • 36 clinicians in this Medicare group
NPI 1447673702 (082) 444-8596

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brody Fanshaw's NPI number?

The NPI number for Brody Fanshaw is 1689390981. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Brody Fanshaw located?

Brody Fanshaw practices at 121 S Bristol St Ste 102, Sun Prairie, WI 53590. The listed phone number is (608) 285-2911.

What is Brody Fanshaw's specialty?

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

Is Brody Fanshaw enrolled in Medicare?

Yes. Brody Fanshaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brody Fanshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brody Fanshaw reassigns Medicare benefits to Insight Counseling & Wellness, LLC (Madison, 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 Brody Fanshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brody Fanshaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Brody Fanshaw 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 Brody Fanshaw was last updated on August 14, 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.