MARJORIE Y MENDOZA (LPC) – Professional Counselor, NPI 1124324090

MARJORIE Y MENDOZA (LPC) is a healthcare provider. based in Racine, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 7114-125 (WI). The NPI Number for MARJORIE Y MENDOZA (LPC) is 1124324090

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARJORIE Y MENDOZA (LPC)
NPI
1124324090
Phone
(262) 637-8888
Address
800 WISCONSIN AVE
Enumeration Date
9 February 2011
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144752788
Graduation Year
2015 (11 years ago)
PAC ID
8123463437
Group Practice PAC ID
8224296454
Professional Enrollment ID
I20240227000821
Address ID
WI532143167WE1205XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MARJORIE Y MENDOZA (LPC)

  • 800 WISCONSIN AVE

    RACINE, WI 534031526

    Phone: (262) 637-8888

    Fax: (262) 637-0695

    Type: Location

  • 1205 S 70TH ST STE 301

    WEST ALLIS, WI 532143171

    Phone: (414) 485-6302

    Type: Location

  • 8321 S 100TH ST

    FRANKLIN, WI 531322409

    Phone: (414) 719-0076

    Type: Mailing

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: 2024-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240227000821IMental Health CounselorWITBD

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.

Verify on CMS Revalidation Lookup Tool

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 53403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224296454View full group profile
NameSpecialtyState
Clinical PsychologistWI
-WI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
-WI
Nurse PractitionerWI
-WI
Nurse PractitionerWA
Clinical PsychologistWI

Reviews

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Frequently asked questions

What unique ID ties claims to MARJORIE Y MENDOZA (LPC)?
NPI 1124324090 is assigned to MARJORIE Y MENDOZA (LPC) under the national enumeration system.
Is MARJORIE Y MENDOZA (LPC)'s NPI currently valid?
The extract we use shows MARJORIE Y MENDOZA (LPC) as active.
Does MARJORIE Y MENDOZA (LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for MARJORIE Y MENDOZA (LPC). Clinical services aligned with this taxonomy classification.
Where does public data place MARJORIE Y MENDOZA (LPC)?
The snapshot lists Racine, Wisconsin for MARJORIE Y MENDOZA (LPC); download NPPES for the complete set.
Is MARJORIE Y MENDOZA (LPC) a real provider?
This page reflects official NPPES data for NPI 1124324090. Always confirm identity and privileges with the practice and licensing boards.

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