Marissa Gaedtke, MA, LPC
NPI 1629755889 · Professional Counselor · Brookfield, WI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Gaedtke, MA, LPC is a Professional Counselor provider in Brookfield, WI (NPI 1629755889).
Provider details
- NPI number
- 1629755889
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10856-125 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Frequently asked questions
- What is Marissa Gaedtke's NPI number?
- Marissa Gaedtke's National Provider Identifier (NPI) is 1629755889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Gaedtke's specialty?
- Marissa Gaedtke is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Marissa Gaedtke located?
- Marissa Gaedtke's practice location on file with NPPES is 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906.
- What is Marissa Gaedtke's phone number?
- The practice phone number listed in the NPPES registry for Marissa Gaedtke is (262) 789-1191.
- Does Marissa Gaedtke accept Medicare?
- Marissa Gaedtke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Gaedtke's NPI active?
- Yes — Marissa Gaedtke's NPI (1629755889) is active in the NPPES registry as of the last update on 2024-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.