Shannon Broeker, LPC
NPI 1386488955ActiveIndividual· Counselor, Professional· Port Washington, WI
Counselor, Professional (LPC) with Cornerstone Counseling Services Inc, practicing in Port Washington, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1386488955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jun 19, 2024 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 11969-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Cornerstone Counseling Services IncMadison, WI · 353 clinicians
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