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

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: November 01, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tina Cummins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1509 S COMMERCIAL ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group

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 12

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

Social Worker (Clinical)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Social Worker (Clinical)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Counselor (Professional)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Counselor (Mental Health)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Counselor (Mental Health)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Counselor (Professional)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Social Worker (Clinical)
1509 S COMMERCIAL ST
NEENAH, WI 54956
Counselor (Mental Health)
1509 S COMMERCIAL ST
NEENAH, WI 54956

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 Tina Cummins's NPI number?

The NPI number for Tina Cummins is 1316654155. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Tina Cummins located?

Tina Cummins practices at 1509 S Commercial St, Neenah, WI 54956. The listed phone number is (920) 722-1805.

What is Tina Cummins's specialty?

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

Is Tina Cummins enrolled in Medicare?

Yes. Tina Cummins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Cummins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Cummins reassigns Medicare benefits to Reach Counseling Services, Inc. (Neenah, WI). The 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 Tina Cummins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Cummins accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and Quartz and 1 other insurer list Tina Cummins 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 Tina Cummins was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.