MRS. RENEE BIRKHOLZ LPC-IT, SAS
NPI 1467826990
Counselor in Portage, WI

Q: What is Renee Birkholz's NPI number?

The NPI number for Renee Birkholz is 1467826990. It was assigned to this individual provider in the NPPES registry on November 20, 2015. The provider is also known as Ms. Renee Vanden Heuvel Vanden Heuvel.

Q: What is Renee Birkholz's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Birkholz was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 20, 2015PECOS EnrolledAccepts Medicare Assignment

2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2015, Nov 20, 2015 (2 updates tracked since 2015).

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About Mrs. Renee Birkholz Lpc-it, Sas NPPES

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

MRS. RENEE BIRKHOLZ LPC-IT, SAS (NPI 1467826990) is an individual counselor in Portage, Wisconsin, licensed in Wisconsin (2645-226) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467826990

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. RENEE BIRKHOLZCredential: LPC-IT, SAS

Location Address2901 HUNTERS TRLPortage, WI 53901-3403

Mailing Address1002 Lincoln AveBaraboo, WI 53913-1808 · (608) 356-9055 · Fax (608) 356-5447

Phone(608) 742-5518

Fax(608) 742-4087

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 20, 2015

Last NPPES UpdateFebruary 1, 20182 updates tracked since enumeration

✔ NPI 1467826990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WI · 2645-226

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2901 HUNTERS TRL, Portage, WI 53901

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Other Names 1

Former Name (1)Ms. Renee Vanden Heuvel Vanden Heuvel

Other Identifiers 1

Medicaid1467826990WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.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

Mrs. Renee Birkholz Lpc-it, Sas 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 ID9537519236

PECOS Enrollment IDI20231221000083

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 Renee Birkholz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Service Associates, Sc

Same address

Mental Health (Including Community Mental Health Center)

2901 HUNTERS TRL
Portage, WI 53901

Reassigned Medicare billing, Wisconsin enrollment
44 clinicians in this Medicare group

NPI 1780610923 (608) 742-5518

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 20

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

SUSAN I QUIRICONI MSW CICSW

Social Worker (Clinical)