MARGARET PAULUS LPC
NPI 1104708478
Counselor - Professional in Cedarburg, WI
About Margaret Paulus Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGARET PAULUS LPC (NPI 1104708478) is an individual professional provider in Cedarburg, Wisconsin, licensed in Wisconsin (11884) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Bend, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Margaret Paulus Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Margaret Paulus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 75 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Margaret Paulus's NPI number?
The NPI number for Margaret Paulus is 1104708478. It was assigned to this individual provider in the NPPES registry on July 25, 2025.
Where is Margaret Paulus located?
Margaret Paulus practices at W67n222 Evergreen Blvd Ste 209, Cedarburg, WI 53012. The listed phone number is (262) 375-1116.
What is Margaret Paulus's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Margaret Paulus enrolled in Medicare?
Yes. Margaret Paulus is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Margaret Paulus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Paulus reassigns Medicare benefits to Behavioral Health Clinic, LLC (Wausau, 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 Margaret Paulus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Margaret Paulus accept?
Health plans from HealthPartners, Network Health, Quartz and UnitedHealthcare list Margaret Paulus 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 Margaret Paulus was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Margaret Paulus, LPC · NPI 1104708478
Professional provider in Cedarburg, Wisconsin. Individual provider, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1104708478 (Entity type: Individual)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11884 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W67N222 EVERGREEN BLVD STE 209, Cedarburg, WI 53012-2645
- **Phone:** (262) 375-1116 · **Fax:** (262) 375-1071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Behavioral Health Clinic, LLC (NPI 1831442359, Wausau, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104708478) · Data from the CMS NPPES public registry.