ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC) – Mental Health Counselor, NPI 1396352852

ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC) is a healthcare provider. based in Cedarburg, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC-IT, NCC. They hold a License No. 4723226 (WI). The NPI Number for ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC) is 1396352852

Main info

Male
6 Years Of Experience
Name
ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC)
NPI
1396352852
Phone
(414) 350-6455
Address
W62N281 WASHINGTON AVE
Enumeration Date
29 September 2020
Last Update Date
29 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
262334434013
Graduation Year
2020 (6 years ago)
PAC ID
2567802895
Group Practice PAC ID
8527353747
Professional Enrollment ID
I20240502003279
Address ID
WI530901518WE400XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC)

  • W62N281 WASHINGTON AVE

    CEDARBURG, WI 530122737

    Phone: (414) 350-6455

    Mailing address matches the actual address.

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: 2024-05-02

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
I20240502003279IMental 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 53012)

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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: 8527353747View full group profile
NameSpecialtyState
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Nurse PractitionerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Where can patients find ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC)'s NPI?
You can confirm ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC) with NPI 1396352852; it appears in the national provider directory.
Does this profile mean ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC) is currently active?
Yes — ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC) appears active in the national provider directory.
What kind of provider is ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC)?
The page reflects Mental Health Counselor for ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC). Clinical services aligned with this taxonomy classification.
Where is ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC)'s primary listing?
We display Cedarburg, Wisconsin because that is what the record indicates for ALEXANDER DEMETRIO ANDEREGG (LPC-IT, NCC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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