DONNA SCHELFHOUT LPC
NPI 1518402809
Counselor - Professional in Plymouth, WI

Active since December 22, 2016PECOS EnrolledAccepts Medicare Assignment
623 E MILL ST APT 3, PLYMOUTH, WI 53073(920) 464-0836 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 18, 2025, Nov 5, 2025, Dec 28, 2016 and 1 more (4 updates tracked since 2016).

About Donna Schelfhout Lpc NPPES

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

DONNA SCHELFHOUT LPC (NPI 1518402809) is an individual professional provider in Plymouth, Wisconsin and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1518402809
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDONNA SCHELFHOUTCredential: LPC
Location Address623 E MILL ST APT 3Plymouth, WI 53073-1944
Mailing Address623 E Mill St Apt 3Plymouth, WI 53073-1944 · (920) 464-0836
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 22, 2016
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1518402809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
623 E MILL ST APT 3, Plymouth, WI 53073

Accepted 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

Donna Schelfhout 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 ID2769900349
PECOS Enrollment IDI20250516003186
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 Donna Schelfhout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
623 E MILL ST APT 3
Plymouth, WI 53073
  • Reassigned Medicare billing, Wisconsin enrollment

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

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

Counselor (Professional)
623 E MILL ST APT 3
PLYMOUTH, WI 53073

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 Donna Schelfhout's NPI number?

The NPI number for Donna Schelfhout is 1518402809. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Where is Donna Schelfhout located?

Donna Schelfhout practices at 623 E Mill St Apt 3, Plymouth, WI 53073. The listed phone number is (920) 464-0836.

What is Donna Schelfhout's specialty?

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

Is Donna Schelfhout enrolled in Medicare?

Yes. Donna Schelfhout 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 Donna Schelfhout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Schelfhout reassigns Medicare benefits to Calming Waters Family Counseling (Plymouth, 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 Donna Schelfhout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Schelfhout accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Donna Schelfhout 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 Donna Schelfhout was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.