MR. RANDALL JOHN AMBROSIUS MSW CADCIII LCSW
NPI 1487720769
Counselor - Addiction (Substance Use Disorder) in Wisconsin Rapids, WI

Q: What is Randall Ambrosius's NPI number?

The NPI number for Randall Ambrosius is 1487720769. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Randall Ambrosius's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Randall Ambrosius was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 28, 2006PECOS Enrolled

88.97/100

CMS Quality Rating

2611 12TH ST S, MENTAL HEALTH AODA CLINIC, WISCONSIN RAPIDS, WI 54494(715) 421-8849(715) 421-2266 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Randall John Ambrosius Msw Cadciii Lcsw NPPES

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

MR. RANDALL JOHN AMBROSIUS MSW CADCIII LCSW (NPI 1487720769) is an individual addiction (substance use disorder) provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (1834) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487720769

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. RANDALL JOHN AMBROSIUSCredential: MSW CADCIII LCSW

Location Address2611 12TH ST S, MENTAL HEALTH AODA CLINICWisconsin Rapids, WI 54494

Mailing Address2611 12th St SWisconsin Rapids, WI 54494 · (715) 421-8849

Phone(715) 421-8849

Fax(715) 421-2266

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateJanuary 29, 2008

✔ NPI 1487720769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 1834

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4186123 (WI)

2611 12TH ST S, Wisconsin Rapids, WI 54494

Open in Google Maps ↗

Other Identifiers 1

Medicaid39354800WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randall John Ambrosius Msw Cadciii Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.89

Promoting Interoperability

100

Improvement Activities

Cost

69.92

Other Providers at the Same Location NPPES 15

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

LOUANNE PUFALL CSAC

Counselor (Addiction (Substance Use Disorder))

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8844

TRACY RENDERMAN SAC, IDP

Counselor (Addiction (Substance Use Disorder))

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8869

DR. STEVEN C ANDREWS MD

Psychiatry & Neurology (Psychiatry)

2611 12TH ST S, WOOD COUNTY UNIFIED SERVICES
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8800

KATHERINE LISIECKI RN

Registered Nurse

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8835

SAMANTHA CASEY LPC

Counselor (Professional)

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 323-2440

RICHARD R KOPELKE CADCIII

Counselor (Addiction (Substance Use Disorder))

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8800

DEMARIS LOSINSKI APSW

Social Worker

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8800

ALEXA WEBB RN

Registered Nurse

2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Wood County (715) 421-8791

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 Randall Ambrosius's NPI number?

The NPI number for Randall Ambrosius is 1487720769. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Randall Ambrosius located?

Randall Ambrosius practices at 2611 12th St S Mental Health Aoda Clinic, Wisconsin Rapids, WI 54494. The listed phone number is (715) 421-8849.

What is Randall Ambrosius's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Randall Ambrosius enrolled in Medicare?

Yes. Randall Ambrosius is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Ambrosius was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.