KELLEY RAE MENDALSKI M.S., LPC
NPI 1033694641
Counselor - Professional in Menomonie, WI

Active since September 28, 2018PECOS Enrolled
800 WILSON AVE RM 330, MENOMONIE, WI 54751(715) 256-7166 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2018, Sep 28, 2018 (2 updates tracked since 2018).

About Kelley Rae Mendalski M.s., Lpc NPPES

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

KELLEY RAE MENDALSKI M.S., LPC (NPI 1033694641) is an individual professional provider in Menomonie, Wisconsin, licensed in Wisconsin (7120125) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eau Claire, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033694641
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLEY RAE MENDALSKICredential: M.S., LPC
Location Address800 WILSON AVE RM 330Menomonie, WI 54751-2746
Mailing Address800 Wilson Ave Rm 330Menomonie, WI 54751-2746 · (715) 256-7166
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 28, 2018
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
NPI 1033694641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 7120125
800 WILSON AVE RM 330, Menomonie, WI 54751

Secondary Practice Location 1

Location 12620 Stein BlvdEau Claire, WI 54701-2672 · Phone (715) 836-0064

Other Identifiers 1

Medicaid7120125WI

Accepted 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)

Kelley Rae Mendalski M.s., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022592757
PECOS Enrollment IDI20260320001522
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 19

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

Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751

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 Kelley Mendalski's NPI number?

The NPI number for Kelley Mendalski is 1033694641. It was assigned to this individual provider in the NPPES registry on September 28, 2018.

Where is Kelley Mendalski located?

Kelley Mendalski practices at 800 Wilson Ave Rm 330, Menomonie, WI 54751. The listed phone number is (715) 256-7166.

What is Kelley Mendalski's specialty?

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

Is Kelley Mendalski enrolled in Medicare?

Yes. Kelley Mendalski is registered in the Medicare PECOS enrollment system.

What insurance does Kelley Mendalski accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan and 1 other insurer list Kelley Mendalski 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 Kelley Mendalski was last updated on April 19, 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.