Mr John Barajas, LPC-IT, SAC-IT in Green Bay, WI

Mr John Barajas, LPC-IT, SAC-IT is a medicare enrolled "Counselor - Mental Health" provider in Green Bay, Wisconsin. His current practice location is 424 S Monroe Ave Ste 201, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 445-0170.

Mr John Barajas is licensed to practice in Wisconsin (license number 4984-226) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003484478.

Contact Information

	Mr John Barajas, LPC-IT, SAC-IT
	424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054
	(920) 445-0170
	(920) 445-0174

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Barajas
Gender	Male
Speciality	Counselor - Mental Health
Location	424 S Monroe Ave Ste 201, 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: 1003484478
Provider Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6901245596
Enrollment ID: I20240416000672

Medical Identifiers

Medical identifiers for Mr John Barajas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003484478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4984-226 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	19327-130 (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. Mr John Barajas allows following entities to bill medicare on his behalf.

Entity Name	Samaritan Counseling Center Of The Fox Valley, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538175195 PECOS PAC ID: 9234034349 Enrollment ID: O20031203000132

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. Mr John Barajas 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
Mr John Barajas, LPC-IT, SAC-IT 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 Ph: (920) 445-0170	Mr John Barajas, LPC-IT, SAC-IT 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 Ph: (920) 445-0170

Reviews and Comments

Counselor in Green Bay, WI

Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859

Mr John Barajas, LPC-IT, SAC-IT - Medicare Counselor in Green Bay, WI