ALEXANDER B MENTZEL MS, LPC-IT
NPI 1205529914
Counselor - Professional in Portage, WI

Q: What is Alexander Mentzel's NPI number?

The NPI number for Alexander Mentzel is 1205529914. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Alexander Mentzel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexander Mentzel was last updated on May 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2023PECOS EnrolledAccepts Medicare Assignment

2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alexander B Mentzel Ms, Lpc-it NPPES

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

ALEXANDER B MENTZEL MS, LPC-IT (NPI 1205529914) is an individual professional provider in Portage, Wisconsin, licensed in Wisconsin (7375-226) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Whitewater, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205529914

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameALEXANDER B MENTZELCredential: MS, LPC-IT

Location Address2901 HUNTERS TRLPortage, WI 53901-3403

Mailing Address2901 Hunters TrlPortage, WI 53901-3403 · (608) 742-5518 · Fax (608) 742-4087

Phone(608) 742-5518

Fax(608) 742-4087

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 30, 2023

Last NPPES UpdateMay 31, 2023

NPPES CertifiedMay 31, 2023

✔ NPI 1205529914 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 · 7375-226

2901 HUNTERS TRL, Portage, WI 53901

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Secondary Practice Location 1

Location 11221 Innovation Dr Ste 221Whitewater, WI 53190-1483 · Phone (262) 473-0670 · Fax (262) 473-0674

Other Identifiers 1

Medicaid1205529914WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners 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

Alexander B Mentzel Ms, Lpc-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 ID2365966751

PECOS Enrollment IDI20250407003095

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.

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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.

SUSAN I QUIRICONI MSW CICSW

Social Worker (Clinical)