PATRICIA L VANDERMAUSE LPC ,CSAC
NPI 1174839336
Counselor - Professional in Green Bay, WI

Q: What is Patricia Vandermause's NPI number?

The NPI number for Patricia Vandermause is 1174839336. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Q: What is Patricia Vandermause's specialty?

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

Active since August 26, 2010PECOS EnrolledAccepts Medicare Assignment

301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-3630 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Patricia L Vandermause Lpc ,csac NPPES

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

PATRICIA L VANDERMAUSE LPC ,CSAC (NPI 1174839336) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (4431-125) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174839336

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NamePATRICIA L VANDERMAUSECredential: LPC ,CSAC

Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241

Mailing Address301 E Saint Joseph StGreen Bay, WI 54301-2241 · (920) 433-3630

Phone(920) 433-3630

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 26, 2010

✔ NPI 1174839336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 4431-125

301 E SAINT JOSEPH ST, Green Bay, WI 54301

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Other Identifiers 1

MedicaidPENDINGWI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia L Vandermause Lpc ,csac 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 ID3274984810

PECOS Enrollment IDI20240109001254

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

45 services15 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

12 services12 patients

Other Providers at the Same Location NPPES 20

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

DENISE M BALZOLA MSW

Counselor (Mental Health)