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JUSTIN MISTRETTA LPC
NPI 1346858792
Counselor - Professional in Madison, WI

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
7617 MINERAL POINT RD STE 300, MADISON, WI 53717(608) 833-9290(608) 833-9691 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Mistretta Lpc NPPES

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

JUSTIN MISTRETTA LPC (NPI 1346858792) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (7849) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346858792
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTIN MISTRETTACredential: LPC
Location Address7617 MINERAL POINT RD STE 300Madison, WI 53717-1623
Mailing Address7617 Mineral Point Rd Ste 300Madison, WI 53717-1623 · (608) 833-9290 · Fax (608) 833-9691
Phone(608) 833-9290
Fax(608) 833-9691
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1346858792 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 · 7849
7617 MINERAL POINT RD STE 300, Madison, WI 53717
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW, Quartz.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

Justin Mistretta 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 ID1355788563
PECOS Enrollment IDI20240325000197
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 Justin Mistretta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Psychology Center S C
Same address
Mental Health (Including Community Mental Health Center)
7617 MINERAL POINT RD STE 300
Madison, WI 53717
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group
NPI 1710942107 (608) 833-9290

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 9

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

MS. SANDRA JEAN STEINHAUER MS, LPC, SAC-IT
Counselor (Mental Health)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
DR. SARA KATHERINE KUHN-WATSON PHD
Psychologist (Clinical)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
MICHAL Y HERBSMAN LMFT
Marriage & Family Therapist
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
SHEENA LEE WIEDENFELD MASTERS COUNSELING
Counselor (Professional)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
CARLOS RAMOS ORTOLAZA
Counselor (Professional)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
DR. JOHN PATRICK BRUNER PH.D.
Psychologist (Clinical)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
MRS. KRISTIN FARNSWORTH SORNSON LCSW
Social Worker (Clinical)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290
RACHEL NICOLE BOGATAY LP
Psychologist (Clinical)
7617 MINERAL POINT RD STE 300
MADISON, WI 53717
Dane County (608) 833-9290

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 Justin Mistretta's NPI number?

The NPI number for Justin Mistretta is 1346858792. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Justin Mistretta located?

Justin Mistretta practices at 7617 Mineral Point Rd Ste 300, Madison, WI 53717. The listed phone number is (608) 833-9290.

What is Justin Mistretta's specialty?

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

Is Justin Mistretta enrolled in Medicare?

Yes. Justin Mistretta 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 organization bills Medicare for Justin Mistretta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Mistretta reassigns Medicare benefits to The Psychology Center S C (Madison, 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 Justin Mistretta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Mistretta accept?

Health plans from Dean Health Plan, Group Health Cooperative-SCW and Quartz list Justin Mistretta 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 Justin Mistretta was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.