TONYETTA L ROSS LPC, CSAC
NPI 1003132473
Counselor - Professional in Milwaukee, WI

Q: What is Tonyetta Ross's NPI number?

The NPI number for Tonyetta Ross is 1003132473. It was assigned to this individual provider in the NPPES registry on April 10, 2010.

Q: What is Tonyetta Ross's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Tonyetta Ross was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2010PECOS Enrolled

5330 W VILLARD AVE, MILWAUKEE, WI 53218(414) 488-6291(414) 488-6293 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2019, Jul 22, 2019, Jul 15, 2019 (3 updates tracked since 2019).

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About Tonyetta L Ross Lpc, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONYETTA L ROSS LPC, CSAC (NPI 1003132473) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (7597-125) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003132473

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTONYETTA L ROSSCredential: LPC, CSAC

Location Address5330 W VILLARD AVEMilwaukee, WI 53218-4345

Mailing Address1711 W Clayton Crest AveMilwaukee, WI 53221-3830 · (414) 690-0672

Phone(414) 488-6291

Fax(414) 488-6293

Sole ProprietorYes

Enumeration DateApril 10, 2010

Last NPPES UpdateDecember 12, 20193 updates tracked since enumeration

✔ NPI 1003132473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 7597-125

Also ListedCounselorTaxonomy 101Y00000X · License 16074-132 (WI)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

5330 W VILLARD AVE, Milwaukee, WI 53218

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Secondary Practice Locations 2

Location 11004 N 37th StMilwaukee, WI 53208-3107 · Phone (414) 690-0672

Location 210200 N Port Washington RdMequon, WI 53092-5765 · Phone (414) 488-6291 · Fax (414) 488-6293

Other Identifiers 1

Other12088599WI · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonyetta L Ross Lpc, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE ENHANCED COUNSELING SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))