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Active NPI 1942708789 Individual Practitioner Male Practitioner

Brandon Waupekenay , -226 LPC

Counselor - Professional • Gresham, WI

Professional Overview & Biography Verified Profile Summary

Brandon Waupekenay, -226 LPC is a registered healthcare professional specializing in Counselor - Professional in Gresham, WI. Practice services are available at N2150 KESAEHKAHTEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N2150 Kesaehkahtek Rd

Gresham, WI 541289602

Telephone 7157993835
Fax 7157995056
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gresham, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Gresham, WI (4511 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 2789226

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Bruce Wilber , SAC

Counselor - Addiction (Substance Use Disorder)

NPI 1003063157
Breana Pickard , APSW, SAC-IT

Social Worker - Clinical

NPI 1053973909

APSW, SACIT

Nanette Pamonicutt

Counselor - Addiction (Substance Use Disorder)

NPI 1184566739
Steven Dakai , AD

Counselor - Addiction (Substance Use Disorder)

NPI 1184889560
Chantelle Panske , LPC-IT

Counselor - Professional

NPI 1316788375

LPCIT

Mary Barney , CSAC

Counselor - Addiction (Substance Use Disorder)

NPI 1447425145

Certified Substance Abuse Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2018

Registered at N2150 KESAEHKAHTEK RD, GRESHAM, WI 541289602 (Tel: 7157993835)

📍
Updated Business Mailing Address January 26, 2018

Registered at 500 1/2 N MAIN ST, SHAWANO, WI 541661945 (Tel: 7153046057)

👤
Provider Name / Credentials Updated January 26, 2018

Recorded as BRANDON WAUPEKENAY, 2789-226 LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Counselor (License #2789226 in WI)

🟢
Initial NPI Registration & Enumeration January 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942708789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2018
Last Update: January 26, 2018
Sole Proprietor: No

Mailing Address

500 1/2 N Main St

Shawano, WI 541661945

Phone: 7153046057

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.