ERIK BUCHELT LPC, SAC
NPI 1538856570
Counselor - Mental Health in Sheboygan, WI
About Erik Buchelt Lpc, Sac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIK BUCHELT LPC, SAC (NPI 1538856570) is an individual mental health provider in Sheboygan, Wisconsin, licensed in Wisconsin (10803-125) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sheboygan, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Erik Buchelt Lpc, Sac 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.
Medicare Billing Reassignment
Medicare enrollment records show Erik Buchelt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 Erik Buchelt's NPI number?
The NPI number for Erik Buchelt is 1538856570. It was assigned to this individual provider in the NPPES registry on April 20, 2023.
Where is Erik Buchelt located?
Erik Buchelt practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is Erik Buchelt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Erik Buchelt enrolled in Medicare?
Yes. Erik Buchelt 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 Erik Buchelt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erik Buchelt reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, 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 Erik Buchelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erik Buchelt accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Erik Buchelt 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 Erik Buchelt was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Erik Buchelt, LPC, SAC · NPI 1538856570
Mental Health provider in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since April 20, 2023.
## Identity
- **NPI:** 1538856570 (Entity type: Individual)
- **Enumerated:** April 20, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 10803-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081-3129
- **Phone:** (920) 457-4461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 13, 2026
- **Other identifiers:** Medicaid 100265146 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1538856570) · Data from the CMS NPPES public registry.