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JOANNE M KLYSEN
NPI 1962826941
Counselor - Mental Health in Green Bay, WI

Active since February 11, 2014PECOS EnrolledAccepts Medicare Assignment
1061 W MASON ST, GREEN BAY, WI 54303(920) 437-8256(920) 437-1188 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joanne M Klysen NPPES

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

JOANNE M KLYSEN (NPI 1962826941) is an individual mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (6031-125) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962826941
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJOANNE M KLYSEN
Location Address1061 W MASON STGreen Bay, WI 54303-1858
Mailing Address1061 W Mason StGreen Bay, WI 54303-1858 · (920) 437-8256 · Fax (920) 437-1188
Phone(920) 437-8256
Fax(920) 437-1188
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 11, 2014
Last NPPES UpdateJune 20, 2023
NPPES CertifiedJune 20, 2023
✔ NPI 1962826941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 6031-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6031-125 (WI)
1061 W MASON ST, Green Bay, WI 54303
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Other Names 1

Former Name (1)Joanne M Salm

Other Identifiers 1

Other6031-125WI · Wisconsin Dept Of Safety And Professional Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners 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 and accepts Medicare assignment

Joanne M Klysen 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 ID3072950914
PECOS Enrollment IDI20240327001153
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 Joanne Klysen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foundations Health And Wholeness Inc
3.1 mi
Mental Health (Including Community Mental Health Center)
FOUNDATIONS HEALTH AND WHOLENESS INC, 1061 W MASON ST.
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1497840607 (920) 437-8256

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 18

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

SARA NOEL WISNESKI
Counselor (Mental Health)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 437-8256
MARINA OLIVER LCSW
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 437-8256
NATASHA COLLINS FRANCEK MSW, APSW
Social Worker
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 606-3204
CARMEN JEAN YOST LPC
Counselor (Professional)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 437-8256
RYAN PATRICK GOOD LCSW
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 437-8256
KENNETH ROY SANN LCSW, CSAC, ICS
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 437-8256
BRITTANY LIZBETH ZAMUDIO NUNEZ APSW
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 437-8256
JESSA SCOTT LPC
Counselor (Professional)
1061 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 475-8535

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 Joanne Klysen's NPI number?

The NPI number for Joanne Klysen is 1962826941. It was assigned to this individual provider in the NPPES registry on February 11, 2014. The provider is also known as Joanne M Salm.

Where is Joanne Klysen located?

Joanne Klysen practices at 1061 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 437-8256.

What is Joanne Klysen's specialty?

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

Is Joanne Klysen enrolled in Medicare?

Yes. Joanne Klysen 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 organization bills Medicare for Joanne Klysen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Klysen reassigns Medicare benefits to Foundations Health And Wholeness Inc (Green Bay, 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 Joanne Klysen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joanne Klysen accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Network Health and UnitedHealthcare list Joanne Klysen 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 Joanne Klysen was last updated on June 20, 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.