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

Marissa A Gaedtke, MA, LPC

Individual provider Professional Counselor · NPI 1629755889

Marissa A Gaedtke, MA, LPC is a Mental Health Counselor in Brookfield, Wisconsin. Qualified in 2022, 4 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Phone: (262) 789-1191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10856-125 (WI)

Record details

NPI number1629755889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedJune 29, 2023
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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