ANGELA DELLISE LPC, CSAC, CS-IT
NPI 1164718151
Counselor - Professional in Mount Pleasant, WI

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
6233 DURAND AVE, MOUNT PLEASANT, WI 53406(262) 554-8165 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Dellise Lpc, Csac, Cs-it NPPES

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

ANGELA DELLISE LPC, CSAC, CS-IT (NPI 1164718151) is an individual professional provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (5385-125) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164718151
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA DELLISECredential: LPC, CSAC, CS-IT
Location Address6233 DURAND AVEMount Pleasant, WI 53406-4961
Mailing Address3900 W Brown Deer Rd, Suite 200Brown Deer, WI 53209-1220 · (414) 540-2170
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 28, 2011
Last NPPES UpdateAugust 26, 2014
✔ NPI 1164718151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5385-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16057-130 (WI)
6233 DURAND AVE, Mount Pleasant, WI 53406

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Dellise Lpc, Csac, Cs-it is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163874819
PECOS Enrollment IDI20240117004662
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 Angela Dellise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2108 63RD ST
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 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 12

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

Chiropractor
6233 DURAND AVE
MOUNT PLEASANT, WI 53406
Counselor (Professional)
6233 DURAND AVE, SUITE F
RACINE, WI 53406
Social Worker (Clinical)
6233 DURAND AVE, SUITE F
RACINE, WI 53406
Occupational Therapist
6233 DURAND AVE, SUITE 102-3
MOUNT PLEASANT, WI 53406
Speech-Language Pathologist
6233 DURAND AVE, SUITE 102-3
MOUNT PLEASANT, WI 53406
Counselor (Professional)
6233 DURAND AVE
MOUNT PLEASANT, WI 53406
Registered Nurse
6233 DURAND AVE
MOUNT PLEASANT, WI 53406
Counselor (Professional)
6233 DURAND AVE, SUITE F
RACINE, WI 53406

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 Angela Dellise's NPI number?

The NPI number for Angela Dellise is 1164718151. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Angela Dellise located?

Angela Dellise practices at 6233 Durand Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 554-8165.

What is Angela Dellise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Angela Dellise enrolled in Medicare?

Yes. Angela Dellise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Angela Dellise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Dellise reassigns Medicare benefits to Professional Services Group, Inc. (Kenosha, 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 Angela Dellise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Dellise accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 4 other insurers list Angela Dellise 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 Angela Dellise was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.