Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Wallner

Individual provider Mental Health Counselor · NPI 1801525795

Carly Wallner is a Mental Health Counselor in Port Washington, Wisconsin. Qualified in 2019, 7 years ago. Practices with County of Ozaukee, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

121 W Main St
Port Washington, WI 53074-1813
Phone: (262) 238-8130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8355-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 8355-125 (WI)

Record details

NPI number1801525795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address121 W Main St, Port Washington, WI 53074-1813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice County Of Ozaukee — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Washington