VERONICA M ELLINGWORTH MS, LPC, SAC, ICS
NPI 1528577152
Counselor - Mental Health in Stoughton, WI
About Veronica M Ellingworth Ms, Lpc, Sac, Ics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VERONICA M ELLINGWORTH MS, LPC, SAC, ICS (NPI 1528577152) is an individual mental health provider in Stoughton, Wisconsin, licensed in Wisconsin (6410-125) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Veronica M Ellingworth Ms, Lpc, Sac, Ics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Veronica Ellingworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stoughton, WI 53589
- Reassigned Medicare billing, Wisconsin enrollment
- 4 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOUGHTON, WI 53589
STOUGHTON, WI 53589
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 Veronica Ellingworth's NPI number?
The NPI number for Veronica Ellingworth is 1528577152. It was assigned to this individual provider in the NPPES registry on September 26, 2017.
Where is Veronica Ellingworth located?
Veronica Ellingworth practices at 100 Business Park Cir Ste 202, Stoughton, WI 53589. The listed phone number is (608) 695-0960.
What is Veronica Ellingworth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Veronica Ellingworth enrolled in Medicare?
Yes. Veronica Ellingworth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Veronica Ellingworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Veronica Ellingworth reassigns Medicare benefits to Velvaere Mental Health Clinic, LLC (Stoughton, 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 Veronica Ellingworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Veronica Ellingworth accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare Health Plans and UnitedHealthcare list Veronica Ellingworth 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 Veronica Ellingworth was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Veronica M Ellingworth, MS, LPC, SAC, ICS · NPI 1528577152
Mental Health provider in Stoughton, Wisconsin. Individual provider, active in the CMS NPPES registry since September 26, 2017.
## Identity
- **NPI:** 1528577152 (Entity type: Individual)
- **Enumerated:** September 26, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6410-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 BUSINESS PARK CIR STE 202, Stoughton, WI 53589-5501
- **Phone:** (608) 695-0960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Velvaere Mental Health Clinic, LLC (NPI 1770346702, Stoughton, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528577152) · Data from the CMS NPPES public registry.