TINA CUMMINS MA, LPC-IT
NPI 1316654155
Counselor - Professional in Neenah, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since November 01, 2022PECOS Enrolled

1509 S COMMERCIAL ST, NEENAH, WI 54956(920) 722-1805(920) 722-0142 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2023, Nov 1, 2022 (2 updates tracked since 2022).

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About Tina Cummins Ma, Lpc-it NPPES

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

TINA CUMMINS MA, LPC-IT (NPI 1316654155) is an individual professional provider in Neenah, Wisconsin, licensed in Wisconsin (7153-226) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316654155

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTINA CUMMINSCredential: MA, LPC-IT

Location Address1509 S COMMERCIAL STNeenah, WI 54956-6152

Mailing Address1509 S Commercial StNeenah, WI 54956-6152 · (920) 722-1805 · Fax (920) 722-0142

Phone(920) 722-1805

Fax(920) 722-0142

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 1, 2022

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1316654155 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 · 7153-226

1509 S COMMERCIAL ST, Neenah, WI 54956

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Network Health 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)

Tina Cummins Ma, Lpc-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971017765

PECOS Enrollment IDI20250703002222

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.