ALEXANDER B MENTZEL (MS, LPC-IT) – Professional Counselor, NPI 1205529914

ALEXANDER B MENTZEL (MS, LPC-IT) is a healthcare provider. based in Whitewater, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC-IT. They hold a License No. 7375-226 (WI). The NPI Number for ALEXANDER B MENTZEL (MS, LPC-IT) is 1205529914

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER B MENTZEL (MS, LPC-IT)
NPI
1205529914
Phone
(262) 473-0670
Address
1221 Innovation Dr Ste 221
Enumeration Date
30 May 2023
Last Update Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087425518
Graduation Year
2023 (3 years ago)
PAC ID
2365966751
Group Practice PAC ID
8426948746
Professional Enrollment ID
I20250407003095
Address ID
WI531901483WH1221XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for ALEXANDER B MENTZEL (MS, LPC-IT)

  • 1221 Innovation Dr Ste 221

    Whitewater, WI 531901483

    Phone: (262) 473-0670

    Fax: (262) 473-0674

    Type: Location

  • 2901 HUNTERS TRL

    PORTAGE, WI 539013403

    Phone: (608) 742-5518

    Fax: (608) 742-4087

    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: 2025-04-07

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
I20250407003095IMental 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 53190)

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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: 8426948746View full group profile
NameSpecialtyState
-WI
Clinical PsychologistWI
Nurse PractitionerWI
Clinical Social WorkerWI
-WI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

What NPI should I save for ALEXANDER B MENTZEL (MS, LPC-IT)?
Save NPI 1205529914 if you need a stable reference for ALEXANDER B MENTZEL (MS, LPC-IT).
Is ALEXANDER B MENTZEL (MS, LPC-IT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ALEXANDER B MENTZEL (MS, LPC-IT) treat or focus on?
Patients typically see ALEXANDER B MENTZEL (MS, LPC-IT) under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is ALEXANDER B MENTZEL (MS, LPC-IT)'s primary listing?
We display Whitewater, Wisconsin because that is what the record indicates for ALEXANDER B MENTZEL (MS, LPC-IT).
Is ALEXANDER B MENTZEL (MS, LPC-IT) a real provider?
This page reflects official NPPES data for NPI 1205529914. Always confirm identity and privileges with the practice and licensing boards.

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