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KAYLA FAZZARI LPC
NPI 1891313656
Counselor - Professional in Milwaukee, WI

Active since July 08, 2020PECOS Enrolled
1432 W FOREST HOME AVE # 400, MILWAUKEE, WI 53204(414) 567-5400(414) 567-5359 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Jul 8, 2020 (2 updates tracked since 2020).

About Kayla Fazzari Lpc NPPES

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

KAYLA FAZZARI LPC (NPI 1891313656) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (7720-125) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1891313656
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAYLA FAZZARICredential: LPC
Location Address1432 W FOREST HOME AVE # 400Milwaukee, WI 53204-3228
Mailing Address1432 W Forest Home Ave Ste 400Milwaukee, WI 53204-3228 · (414) 567-5400 · Fax (414) 567-5359
Phone(414) 567-5400
Fax(414) 567-5359
Sole ProprietorYes
Enumeration DateJuly 8, 2020
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1891313656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7720-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18558-130 (WI)
1432 W FOREST HOME AVE # 400, Milwaukee, WI 53204
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Secondary Practice Location 1

Location 1N168W20964 Main StJackson, WI 53037-9634 · Phone (262) 510-4332

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), Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Richard Kneip, Ph.D., P.C.
232 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 44 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916

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 Kayla Fazzari's NPI number?

The NPI number for Kayla Fazzari is 1891313656. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Kayla Fazzari located?

Kayla Fazzari practices at 1432 W Forest Home Ave # 400, Milwaukee, WI 53204. The listed phone number is (414) 567-5400.

What is Kayla Fazzari's specialty?

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

Is Kayla Fazzari enrolled in Medicare?

Yes. Kayla Fazzari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kayla Fazzari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Fazzari reassigns Medicare benefits to Richard Kneip, Ph.D., P.C. (Clarkston, MI). 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 Kayla Fazzari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Fazzari accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Quartz list Kayla Fazzari 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 Kayla Fazzari was last updated on June 21, 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.