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AFFILIATED COUNSELING CENTER, INC
NPI 1164568879
Clinic/Center - Mental Health (Including Community Mental Health Center) in Beaver Dam, WI

Active since January 29, 2007
1807 N CENTER ST STE 204, BEAVER DAM, WI 53916(920) 887-8751(920) 887-3977 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Affiliated Counseling Center, Inc NPPES

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

AFFILIATED COUNSELING CENTER, INC (NPI 1164568879) is a healthcare organization registered as a mental health (including community mental health center) in Beaver Dam, Wisconsin and active in the NPI registry since January 2007. The organization lists Daniel Massie, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164568879
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAFFILIATED COUNSELING CENTER, INC
Location Address1807 N CENTER ST STE 204Beaver Dam, WI 53916-1005
Mailing Address1807 N Center St Ste 204Beaver Dam, WI 53916-1005 · (920) 887-8751 · Fax (920) 887-3977
Phone(920) 887-8751
Fax(920) 887-3977
Organization SubpartNo
Authorized OfficialDaniel MassieAuthorized Official · (920) 887-8751
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1164568879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1807 N CENTER ST STE 204, Beaver Dam, WI 53916
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Other Identifiers 1

Medicaid42187100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and more.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)

Affiliated Counseling Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Affiliated Counseling Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Daniel Massie, LCSW, CSAC, CS-IT
Clinical Social Worker
NPI 1427355445
108 N LINCOLN AVE
Beaver Dam, WI 53916
(920) 887-8751
✔ PECOS1.4 mi
Robert Frank, APNP
Nurse Practitioner
NPI 1447666870
547 E WASHINGTON ST
Brandon, WI 53919
(920) 332-1000
✔ PECOS18 mi

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 Affiliated Counseling Center, Inc's NPI number?

The NPI number for Affiliated Counseling Center, Inc is 1164568879. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Affiliated Counseling Center, Inc located?

Affiliated Counseling Center, Inc is located at 1807 N Center St Ste 204, Beaver Dam, WI 53916. The listed phone number is (920) 887-8751.

What is Affiliated Counseling Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Affiliated Counseling Center, Inc enrolled in Medicare?

Yes. Affiliated Counseling Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affiliated Counseling Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Affiliated Counseling Center, Inc, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Affiliated Counseling Center, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Security Health Plan list Affiliated Counseling Center, Inc 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 Affiliated Counseling Center, Inc was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.