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ANGELA GARDEBRECHT
NPI 1730559451
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since October 07, 2015PECOS Enrolled
300 CROOKS ST, GREEN BAY, WI 54301(920) 436-4360(920) 432-5966 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2019, Jun 20, 2016 (2 updates tracked since 2016).

About Angela Gardebrecht NPPES

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

ANGELA GARDEBRECHT (NPI 1730559451) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (16546) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730559451
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANGELA GARDEBRECHT
Location Address300 CROOKS STGreen Bay, WI 54301-4527
Mailing Address300 Crooks StGreen Bay, WI 54301-4527 · (920) 436-4360 · Fax (920) 432-5966
Phone(920) 436-4360
Fax(920) 432-5966
Sole ProprietorNo
Enumeration DateOctober 7, 2015
Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration
✔ NPI 1730559451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 16546
300 CROOKS ST, Green Bay, WI 54301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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)

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

Ccp Clinic, LLC
5.6 mi
Clinical
3301 PACKERLAND DR STE B
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 29 clinicians in this Medicare group
NPI 1396431714 (920) 234-9240

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 Angela Gardebrecht's NPI number?

The NPI number for Angela Gardebrecht is 1730559451. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Angela Gardebrecht located?

Angela Gardebrecht practices at 300 Crooks St, Green Bay, WI 54301. The listed phone number is (920) 436-4360.

What is Angela Gardebrecht's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Angela Gardebrecht enrolled in Medicare?

Yes. Angela Gardebrecht is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Gardebrecht's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Gardebrecht reassigns Medicare benefits to Ccp Clinic, LLC (De Pere, 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 Angela Gardebrecht's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Gardebrecht accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 4 other insurers list Angela Gardebrecht 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 Angela Gardebrecht was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.