Cassondra Frisque, MS, LPC, CSAC in Green Bay, WI

Cassondra Frisque, MS, LPC, CSAC is a medicare enrolled "Counselor - Mental Health" provider in Green Bay, Wisconsin. Her current practice location is 1160 Kepler Dr, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 288-5630.

Cassondra Frisque is licensed to practice in Wisconsin (license number 8635) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649898636.

Contact Information

	Cassondra Frisque, MS, LPC, CSAC
	1160 Kepler Dr, Green Bay, WI 54311-8321
	(920) 288-5630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cassondra Frisque
Gender	Female
Speciality	Counselor - Mental Health
Location	1160 Kepler Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649898636
Provider Enumeration Date: 07/07/2020
Last Update Date: 08/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3476906512
Enrollment ID: I20250414002898

Medical Identifiers

Medical identifiers for Cassondra Frisque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649898636	NPI	-	NPPES
8635-125	Other	WI	STATE LICENSE
1649898636	Medicaid	WI
16562-131	Other	WI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	18706 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	8635 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	8635 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16562 (Wisconsin)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cassondra Frisque allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cassondra Frisque is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cassondra Frisque, MS, LPC, CSAC Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Cassondra Frisque, MS, LPC, CSAC 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-5630

Reviews and Comments

Counselor in Green Bay, WI

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Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859
Stephanie Larson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 Sixth Street, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476

Cassondra Frisque, MS, LPC, CSAC - Medicare Counselor in Green Bay, WI