PINE COUNSELING INC.
NPI 1366004384
Clinic/Center - Mental Health (Including Community Mental Health Center) in Richland Center, WI
About Pine Counseling Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE COUNSELING INC. (NPI 1366004384) is a healthcare organization registered as a mental health (including community mental health center) in Richland Center, Wisconsin and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Elijah Lake Kramer, Owner/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Counseling Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine Counseling Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2325072
Pine Counseling Inc · Richland Center, WIFrequently 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 Pine Counseling Inc.'s NPI number?
The NPI number for Pine Counseling Inc. is 1366004384. It was assigned to this organization in the NPPES registry on June 29, 2019.
Where is Pine Counseling Inc. located?
Pine Counseling Inc. is located at 204 S Orange St, Richland Center, WI 53581. The listed phone number is (608) 383-1261.
What is Pine Counseling Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Pine Counseling Inc. enrolled in Medicare?
Yes. Pine Counseling Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Counseling Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Pine Counseling Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pine Counseling Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2325072) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pine Counseling Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and Security Health Plan list Pine Counseling Inc. 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 Pine Counseling Inc. was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Pine Counseling Inc. · NPI 1366004384
Mental Health (Including Community Mental Health Center) organization in Richland Center, Wisconsin. Organization record, active in the CMS NPPES registry since June 29, 2019.
## Identity
- **NPI:** 1366004384 (Entity type: Organization)
- **Enumerated:** June 29, 2019
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Elijah Kramer, OWNER/ADMINISTRATOR
## Practice location
- **Address:** 204 S ORANGE ST, Richland Center, WI 53581-2170
- **Phone:** (608) 383-1261 · **Fax:** (608) 383-1480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2026
- **Other identifiers:** Medicaid 1184006652 (WI)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366004384) · Data from the CMS NPPES public registry.