CASSONDRA FRISQUE MS LPC SAC NPI 1649898636

NPI Information

NPI: 1649898636
Provider Name: CASSONDRA FRISQUE, MS, LPC, SAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
300 CROOKS ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 436-6800
Get Directions

Cassondra Frisque, MS, LPC, SAC is a professional counselor in Green Bay, WI. Cassondra Frisque, MS, LPC, SAC NPI is 1649898636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 CROOKS ST
GREEN BAY, WI
ZIP 54301-527
Phone: (920) 436-6800
Fax: (920) 432-5966

The NPI 1649898636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/7/2020 and was last updated on 3/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18706	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16562	WISCONSIN	No
3	101YM0800X	Counselor	Mental Health	4676	WISCONSIN	No
4	101YP2500X	Counselor	Professional	8635	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1649898636	MEDICAID	TENNESSEE
2	8635-125	OTHER	WISCONSIN	STATE LICENSE
3	16562-131	OTHER	WISCONSIN	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »