MAISIE MAE FLOYD (LPC, SAC) – Professional Counselor, NPI 1750874822

MAISIE MAE FLOYD (LPC, SAC) is a healthcare provider. based in Juneau, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, SAC. They hold a License No. 17098-131 (WI). The NPI Number for MAISIE MAE FLOYD (LPC, SAC) is 1750874822

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MAISIE MAE FLOYD (LPC, SAC)
NPI
1750874822
Phone
(920) 386-4094
Address
199 COUNTY ROAD DF FL 3
Enumeration Date
12 June 2018
Last Update Date
14 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9203864094
Graduation Year
2018 (8 years ago)
PAC ID
8022468032
Group Practice PAC ID
2466475587
Professional Enrollment ID
I20240103000191
Address ID
WI530399512JU199XXDFXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MAISIE MAE FLOYD (LPC, SAC)

  • 199 COUNTY ROAD DF FL 3

    JUNEAU, WI 530399512

    Phone: (920) 386-4094

    Fax: (920) 386-4564

    Type: Location

  • 4600, West Schroeder Drive, Brown Deer, Milwaukee County, Wisconsin, 53223, United States

    BROWN DEER, WI 532231469

    Phone: (414) 865-2500

    Type: Location

  • Forest Floor Foods LLC, N5014, Northview Road, Eden, Town of Osceola, Fond du Lac County, Wisconsin, 53019, United States

    EDEN, WI 530191536

    Phone: (920) 904-6247

    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: 2024-01-03

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
I20240103000191IMental 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 53039)

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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: 2466475587View full group profile
NameSpecialtyState
-WI
Clinical Social WorkerWI
Clinical Social WorkerWI
Nurse PractitionerWI
Mental Health CounselorWI
Nurse PractitionerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do payers reference MAISIE MAE FLOYD (LPC, SAC)?
For MAISIE MAE FLOYD (LPC, SAC), use NPI 1750874822 as the unique 10-digit identifier.
Active or inactive — what applies to MAISIE MAE FLOYD (LPC, SAC)?
You should see MAISIE MAE FLOYD (LPC, SAC) as active in CMS-hosted NPPES data.
How would a patient describe MAISIE MAE FLOYD (LPC, SAC)'s focus?
For MAISIE MAE FLOYD (LPC, SAC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MAISIE MAE FLOYD (LPC, SAC)?
Directory geography for MAISIE MAE FLOYD (LPC, SAC) centers on Juneau, Wisconsin.
Does MAISIE MAE FLOYD (LPC, SAC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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