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LORELLE BERGLUND
NPI 1053169532
Social Worker - Clinical in Green Bay, WI

Active since May 09, 2024PECOS Enrolled
1499 6TH ST, GREEN BAY, WI 54304(920) 497-6161(888) 974-5769 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lorelle Berglund NPPES

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

LORELLE BERGLUND (NPI 1053169532) is an individual clinical provider in Green Bay, Wisconsin and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053169532
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLORELLE BERGLUND
Location Address1499 6TH STGreen Bay, WI 54304-2252
Mailing Address1499 6th StGreen Bay, WI 54304-2252 · (920) 497-6161 · Fax (888) 974-5769
Phone(920) 497-6161
Fax(888) 974-5769
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1053169532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1499 6TH ST, Green Bay, WI 54304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorelle Berglund is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880152982
PECOS Enrollment IDI20260819001824
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.

Medicare Billing Reassignment

Medicare enrollment records show Lorelle Berglund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Counseling Inc
Same address
Community/Behavioral Health
1499 6TH ST, INNOVATIVE COUNSELING INC
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 clinicians in this Medicare group
NPI 1093869588 (920) 497-6161

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MORGAN MAITLAND
Behavior Technician
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 498-0117
MR. CHRISTOPHER ANTHONY BUCKMAN MA
Counselor (Mental Health)
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 497-6161
MELINDA MODAFF
Behavior Technician
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 621-7590
JOSEPH DAVID HOELSCHER LCSW
Social Worker (Clinical)
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 497-6161
SHANNON M ANDERSON
Social Worker (Clinical)
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 497-6161
TIANNA ABTS
Behavior Technician
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 497-6161
MEGAN DOMNICK
Counselor (Professional)
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 497-6161
TOM BENIKE LPC-IT
Counselor (Professional)
1499 6TH ST
GREEN BAY, WI 54304
Brown County (920) 497-6161

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 Lorelle Berglund's NPI number?

The NPI number for Lorelle Berglund is 1053169532. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Lorelle Berglund located?

Lorelle Berglund practices at 1499 6th St, Green Bay, WI 54304. The listed phone number is (920) 497-6161.

What is Lorelle Berglund's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lorelle Berglund enrolled in Medicare?

Yes. Lorelle Berglund is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lorelle Berglund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorelle Berglund reassigns Medicare benefits to Innovative Counseling Inc (Green Bay, WI). The 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 Lorelle Berglund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorelle Berglund accept?

Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, Network Health, Quartz and UnitedHealthcare list Lorelle Berglund 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 Lorelle Berglund was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.