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

AMOS THAO LPC
NPI 1295493245
Counselor - Mental Health in De Pere, WI

Active since December 06, 2021PECOS EnrolledAccepts Medicare Assignment
3860 MONROE RD, DE PERE, WI 54115(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amos Thao Lpc NPPES

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

AMOS THAO LPC (NPI 1295493245) is an individual mental health provider in De Pere, Wisconsin, licensed in Wisconsin (10882-125) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295493245
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameAMOS THAOCredential: LPC
Location Address3860 MONROE RDDe Pere, WI 54115-8399
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1295493245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 10882-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 10882-125 (WI)
3860 MONROE RD, De Pere, WI 54115
Open in Google Maps ↗

Other Identifiers 1

Medicaid100197638WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Network Health, Security Health Plan.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

Amos Thao Lpc 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 ID4284084617
PECOS Enrollment IDI20231228000678
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 Reassignments

2

Medicare enrollment records show Amos Thao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
4.7 mi
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
NPI 1285613638 (920) 433-8287
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis
48 mi
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
NPI 1275799413 (920) 496-4700

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 20

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

CASSANDRA VANSTRATEN LPC
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
ROSALYN H HAASE RD CD
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
DANIELLE CASPER
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
MARIE D. IBARRA STAFFORD LPC
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
DR. JOSHUA VINCENT EGLE PT, DPT
Physical Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
MR. DAN J BRAATEN LMFT, SAC
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
STEPHANIE PREVOST M.S.
Counselor (Professional)
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700
ALEKSANDRA BABIARZ MD
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Brown County (920) 496-4700

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 Amos Thao's NPI number?

The NPI number for Amos Thao is 1295493245. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Amos Thao located?

Amos Thao practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Amos Thao's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amos Thao enrolled in Medicare?

Yes. Amos Thao 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 organizations bill Medicare for Amos Thao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amos Thao reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Amos Thao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amos Thao accept?

Health plans from Dean Health Plan, Network Health and Security Health Plan list Amos Thao 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 Amos Thao was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.