PINE VALLEY SERVICES
NPI 1013375104
Community/Behavioral Health in Mauston, WI

Q: What is Pine Valley Integrated Services LLC's NPI number?

The NPI number for Pine Valley Integrated Services LLC is 1013375104. It was assigned to this organization in the NPPES registry on February 3, 2016. The provider is also known as Pine Valley Services.

Q: What is Pine Valley Integrated Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 03, 2016

124 GRAYSIDE AVE, MAUSTON, WI 53948(608) 847-7575(608) 847-3096 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, May 14, 2019, Feb 3, 2016 (3 updates tracked since 2016).

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About Pine Valley Services NPPES

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

PINE VALLEY SERVICES (NPI 1013375104) is a healthcare organization registered as a community/behavioral health in Mauston, Wisconsin and active in the NPI registry since February 2016. The organization maintains a secondary practice location in Lyndon Station and lists Jessica Schulz, Ceo / Owner Member Llc, as its authorized official.

NPPES Registry Identity

NPI1013375104

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePINE VALLEY INTEGRATED SERVICES LLC

Location Address124 GRAYSIDE AVEMauston, WI 53948-1913

Mailing AddressPo Box 359Mauston, WI 53948-0359 · (608) 847-7575 · Fax (608) 847-3096

Phone(608) 847-7575

Fax(608) 847-3096

Organization SubpartNo

Authorized OfficialJessica SchulzCeo / Owner Member Llc · (608) 847-7575

Enumeration DateFebruary 3, 2016

Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1013375104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

124 GRAYSIDE AVE, Mauston, WI 53948

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Other Names 1

Other NamePine Valley Services

Secondary Practice Location 1

Location 1W1889 Koval RdLyndon Station, WI 53944-9398 · Phone (608) 847-7575 · Fax (608) 847-3096

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pine Valley Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pine Valley Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Roberta Bronecki, LCSW

Clinical Social Worker

NPI 1205830965

124 GRAYSIDE AVE
Mauston, WI 53948

(608) 847-7575

✔ PECOSSame address

Genevieve Geffert, LPC

Mental Health Counselor

NPI 1437797958

124 GRAYSIDE AVE
Mauston, WI 53948

(608) 847-7575

✔ PECOSSame address

Sandra Ahlquist, MS

Mental Health Counselor

NPI 1457098592

124 GRAYSIDE AVE
Mauston, WI 53948

(608) 847-7575

✔ PECOSSame address

Jodi Waddell

Mental Health Counselor

NPI 1972272755

124 GRAYSIDE AVE
Mauston, WI 53948

(608) 847-7575

✔ PECOSSame address

Andrew Schmitz, SAC

Mental Health Counselor

NPI 1780064956

302 W LAKE ST
Friendship, WI 53934

(608) 474-4355

✔ PECOS18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Valley Integrated Services LLC's NPI number?

The NPI number for Pine Valley Integrated Services LLC is 1013375104. It was assigned to this organization in the NPPES registry on February 3, 2016. The provider is also known as Pine Valley Services.

Where is Pine Valley Integrated Services LLC located?

Pine Valley Integrated Services LLC is located at 124 Grayside Ave, Mauston, WI 53948. The listed phone number is (608) 847-7575.

What is Pine Valley Integrated Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Pine Valley Integrated Services LLC enrolled in Medicare?

Yes. Pine Valley Integrated Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine Valley Integrated Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pine Valley Integrated Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (4) and Clinical Social Worker (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pine Valley Integrated Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and Security Health Plan list Pine Valley Integrated Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pine Valley Integrated Services LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.