WILLIAM VANSUSTEREN MS, LPC-IT
NPI 1063995132
Counselor - Mental Health in Beaver Dam, WI

Active since September 13, 2018PECOS Enrolled
111 WARREN ST STE 2, BEAVER DAM, WI 53916(920) 219-4440 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2023, Sep 13, 2018 (2 updates tracked since 2018).

About William Vansusteren Ms, Lpc-it NPPES

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

WILLIAM VANSUSTEREN MS, LPC-IT (NPI 1063995132) is an individual mental health provider in Beaver Dam, Wisconsin, licensed in Wisconsin (4066-226) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1063995132
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIAM VANSUSTERENCredential: MS, LPC-IT
Location Address111 WARREN ST STE 2Beaver Dam, WI 53916-3084
Mailing Address111 Warren StBeaver Dam, WI 53916-3084 · (920) 219-4440
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateSeptember 13, 2018
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1063995132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 4066-226
111 WARREN ST STE 2, Beaver Dam, WI 53916

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Vansusteren Ms, Lpc-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719339860
PECOS Enrollment IDI20240115000663
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 William Vansusteren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1971 WASHINGTON ST, SUITE 200
Grafton, WI 53024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 18 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Social Worker
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Counselor (Professional)
111 WARREN ST STE 2
BEAVER DAM, WI 53916
Marriage & Family Therapist
111 WARREN ST STE 2
BEAVER DAM, WI 53916

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 William Vansusteren's NPI number?

The NPI number for William Vansusteren is 1063995132. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is William Vansusteren located?

William Vansusteren practices at 111 Warren St Ste 2, Beaver Dam, WI 53916. The listed phone number is (920) 219-4440.

What is William Vansusteren's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is William Vansusteren enrolled in Medicare?

Yes. William Vansusteren is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Vansusteren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Vansusteren reassigns Medicare benefits to Alarus Healthcare, LLC (Grafton, 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 William Vansusteren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Vansusteren accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Quartz and 1 other insurer list William Vansusteren 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 William Vansusteren was last updated on December 6, 2023. 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.