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

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