THE SOUL FOUNDRY LLC
NPI 1164363933
Counselor - Professional in De Pere, WI
About The Soul Foundry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE SOUL FOUNDRY LLC (NPI 1164363933) is a healthcare organization registered as a professional in De Pere, Wisconsin and active in the NPI registry since April 2026. The organization lists Victoria Mae Engels, Owner/counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
The Soul Foundry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Soul Foundry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 The Soul Foundry LLC's NPI number?
The NPI number for The Soul Foundry LLC is 1164363933. It was assigned to this organization in the NPPES registry on April 3, 2026.
Where is The Soul Foundry LLC located?
The Soul Foundry LLC is located at 330 N Broadway, De Pere, WI 54115. The listed phone number is (920) 639-4447.
What is The Soul Foundry LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is The Soul Foundry LLC enrolled in Medicare?
Yes. The Soul Foundry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Soul Foundry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to The Soul Foundry LLC. 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 The Soul Foundry LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list The Soul Foundry LLC 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 The Soul Foundry LLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# The Soul Foundry Llc · NPI 1164363933
Professional organization in De Pere, Wisconsin. Organization record, active in the CMS NPPES registry since April 3, 2026.
## Identity
- **NPI:** 1164363933 (Entity type: Organization)
- **Enumerated:** April 3, 2026
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Victoria Engels, OWNER/COUNSELOR
## Practice location
- **Address:** 330 N BROADWAY, De Pere, WI 54115-2510
- **Phone:** (920) 639-4447
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164363933) · Data from the CMS NPPES public registry.