MARK DANIEL DITTLOFF (MS, LPC) – Professional Counselor, NPI 1194965590
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,950 MENTAL HEALTH COUNSELOR in TX
Provider Addresses for MARK DANIEL DITTLOFF (MS, LPC)
1512 Scripture St
Denton, TX 762013916
Phone: (940) 382-5328
Fax: (940) 898-8527
Type: Location
301 E Saint Joseph St
Green Bay, WI 543012241
Phone: (920) 433-3630
Type: Location
PO BOX 1866
GREEN BAY, WI 543051866
Phone: (920) 445-7210
Fax: (920) 445-7289
Type: Mailing
1512, Scripture Street, Denton, Denton County, Texas, 76201, United States
DENTON, TX 762013916
Phone: (940) 382-5328
Fax: (940) 898-8527
Type: Mailing
820 ARBUTUS AVE
OCONTO, WI 541532004
Phone: (920) 834-8833
Fax: (920) 834-8830
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240101000030 | I | Mental Health Counselor | WI | TBD |
| I20240702001307 | I | Mental Health Counselor | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI | |
| E N D O C R I N O L O G Y | WI | |
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI |
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