MICHAELA MONTEVERDE (LPC-IT) – Mental Health Counselor, NPI 1801550900

MICHAELA MONTEVERDE (LPC-IT) is a healthcare provider. based in Menasha, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC-IT. The NPI Number for MICHAELA MONTEVERDE (LPC-IT) is 1801550900

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAELA MONTEVERDE (LPC-IT)
NPI
1801550900
Phone
(920) 886-9319
Address
1478 KENWOOD DR STE 1
Enumeration Date
25 October 2021
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208869319118
Graduation Year
2021 (5 years ago)
PAC ID
0345684775
Group Practice PAC ID
9234034349
Professional Enrollment ID
I20240214000167
Address ID
WI549527017ME1205XTERX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MICHAELA MONTEVERDE (LPC-IT)

  • 1478 KENWOOD DR STE 1

    MENASHA, WI 549521161

    Phone: (920) 886-9319

    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: 2024-02-14

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
I20240214000167IMental 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 54952)

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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: 9234034349View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
-WI
Marriage And Family TherapistWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAELA MONTEVERDE (LPC-IT)?
MICHAELA MONTEVERDE (LPC-IT) — NPI 1801550900 — is the standard way to identify this listing.
Is MICHAELA MONTEVERDE (LPC-IT) still practicing?
MICHAELA MONTEVERDE (LPC-IT) is currently listed as active in the public NPI registry.
What taxonomy line describes MICHAELA MONTEVERDE (LPC-IT)?
For research purposes, treat MICHAELA MONTEVERDE (LPC-IT) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAELA MONTEVERDE (LPC-IT)?
MICHAELA MONTEVERDE (LPC-IT)'s geographic hint is Menasha, Wisconsin in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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