1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Counselor
  6. NPI Profile

COLLEEN PRENDERGAST LMHC
NPI 1205081940
Counselor - Professional in Appleton, WI

Active since November 21, 2008PECOS Enrolled
1835 E EDGEWOOD DR STE 105107, APPLETON, WI 54913(920) 482-5618 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen Prendergast Lmhc NPPES

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

COLLEEN PRENDERGAST LMHC (NPI 1205081940) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (6575-125) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205081940
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOLLEEN PRENDERGASTCredential: LMHC
Location Address1835 E EDGEWOOD DR STE 105107Appleton, WI 54913-9407
Mailing Address1835 E Edgewood Dr Ste 105107Appleton, WI 54913-9407 · (920) 234-6842 · Fax (920) 482-5618
Phone(920) 482-5618
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 21, 2008
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1205081940 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 · 6575-125
1835 E EDGEWOOD DR STE 105107, Appleton, WI 54913
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz 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 (PECOS)

Colleen Prendergast Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658867809
PECOS Enrollment IDI20251226001401
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.

Other Providers at the Same Location NPPES 18

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

ALEXIS VAN EPEREN MA, NBCC, LPC, ICS
Counselor (Professional)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 573-6089
MS. KATHLEEN VIRGINIA MUESKE MSE, LPC
Counselor (Professional)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842
ANDREA T. HANSEN LPCC
Counselor (Professional)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842
MRS. SAMANTHA JO DOXTATOR MS, LPC-IT, NCC
Counselor (Mental Health)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842
BRENDA JONES LCSW
Social Worker (Clinical)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842
REBECCA LYNNE MARRAZZO LPC, SACIT
Counselor (Professional)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842
MS. CAROLYN BEYER M.S.E.
Counselor (Professional)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842
MALENA TAYLOR PHD
Psychologist (Clinical)
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913
Outagamie County (920) 234-6842

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 Colleen Prendergast's NPI number?

The NPI number for Colleen Prendergast is 1205081940. It was assigned to this individual provider in the NPPES registry on November 21, 2008.

Where is Colleen Prendergast located?

Colleen Prendergast practices at 1835 E Edgewood Dr Ste 105107, Appleton, WI 54913. The listed phone number is (920) 482-5618.

What is Colleen Prendergast's specialty?

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

Is Colleen Prendergast enrolled in Medicare?

Yes. Colleen Prendergast is registered in the Medicare PECOS enrollment system.

What insurance does Colleen Prendergast accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and UnitedHealthcare list Colleen Prendergast 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 Colleen Prendergast was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.