DELTA CENTER OF WISCONSIN
NPI 1104688365
Psychologist - Counseling in Fond Du Lac, WI
About Delta Center Of Wisconsin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELTA CENTER OF WISCONSIN (NPI 1104688365) is a healthcare organization registered as a counseling in Fond Du Lac, Wisconsin and active in the NPI registry since January 2024. The organization lists Leslie Johnson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Delta Center Of Wisconsin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Delta Center Of Wisconsin, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Optum Behavioral Care Of Colorado, P.C.'s NPI number?
The NPI number for Optum Behavioral Care Of Colorado, P.C. is 1104688365. It was assigned to this organization in the NPPES registry on January 24, 2024. The provider is doing business as Delta Center Of Wisconsin.
Where is Optum Behavioral Care Of Colorado, P.C. located?
Optum Behavioral Care Of Colorado, P.C. is located at 196 3rd St, Fond Du Lac, WI 54935. The listed phone number is (920) 733-2065.
What is Optum Behavioral Care Of Colorado, P.C.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Optum Behavioral Care Of Colorado, P.C. enrolled in Medicare?
Yes. Optum Behavioral Care Of Colorado, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optum Behavioral Care Of Colorado, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Optum Behavioral Care Of Colorado, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optum Behavioral Care Of Colorado, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Dean Health Plan list Optum Behavioral Care Of Colorado, P.C. 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 Optum Behavioral Care Of Colorado, P.C. was last updated on April 24, 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.