NEW DEPTH COUNSELING & WELLNESS SERVICES, LLC
NPI 1376250795
Clinic/Center - Mental Health (Including Community Mental Health Center) in Green Bay, WI

Active since November 04, 2022
1345 W MASON ST STE 102, GREEN BAY, WI 54303(920) 301-3546(920) 301-3400 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2022, Nov 4, 2022 (2 updates tracked since 2022).

About New Depth Counseling & Wellness Services, Llc NPPES

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

NEW DEPTH COUNSELING & WELLNESS SERVICES, LLC (NPI 1376250795) is a healthcare organization registered as a mental health (including community mental health center) in Green Bay, Wisconsin and active in the NPI registry since November 2022. The organization lists Lisa Shaw, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1376250795
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNEW DEPTH COUNSELING & WELLNESS SERVICES, LLC
Location Address1345 W MASON ST STE 102Green Bay, WI 54303-2049
Mailing AddressN6921 Woodside Hills DrSheboygan, WI 53083-1681 · (920) 980-0316
Fax(920) 301-3400
Organization SubpartNo
Authorized OfficialLisa ShawClinical Social Worker · (920) 301-3546
Enumeration DateNovember 4, 2022
Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1376250795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1345 W MASON ST STE 102, Green Bay, WI 54303

Other Names 1

Doing Business AsNew Depth Counseling & Wellness Services, Llc

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)

New Depth Counseling & Wellness Services, Llc 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 New Depth Counseling & Wellness Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1629176938
1345 W MASON ST STE 102
Green Bay, WI 54303
(920) 301-3546
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 New Depth Counseling & Wellness Services, LLC's NPI number?

The NPI number for New Depth Counseling & Wellness Services, LLC is 1376250795. It was assigned to this organization in the NPPES registry on November 4, 2022.

Where is New Depth Counseling & Wellness Services, LLC located?

New Depth Counseling & Wellness Services, LLC is located at 1345 W Mason St Ste 102, Green Bay, WI 54303. The listed phone number is (920) 301-3546.

What is New Depth Counseling & Wellness Services, LLC'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 New Depth Counseling & Wellness Services, LLC enrolled in Medicare?

Yes. New Depth Counseling & Wellness Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Depth Counseling & Wellness Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to New Depth Counseling & Wellness Services, LLC. 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.

What insurance does New Depth Counseling & Wellness Services, LLC accept?

Health plans from Dean Health Plan list New Depth Counseling & Wellness Services, LLC 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 New Depth Counseling & Wellness Services, LLC was last updated on November 23, 2022. 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.