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STEPHEN UMHOEFER
NPI 1558017103
Counselor - Professional in Menasha, WI

Active since February 22, 2022PECOS EnrolledAccepts Medicare Assignment
1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Feb 22, 2022 (2 updates tracked since 2022).

About Stephen Umhoefer NPPES

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

STEPHEN UMHOEFER (NPI 1558017103) is an individual professional provider in Menasha, Wisconsin, licensed in Wisconsin (10747) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Neenah, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558017103
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHEN UMHOEFER
Location Address1095 MIDWAY RDMenasha, WI 54952-1115
Mailing AddressW6413 Sonny Dr Apt 7Menasha, WI 54952-9037
Phone(920) 720-2300
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 22, 2022
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1558017103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 10747✔ Licensed in WI · 5155-226
1095 MIDWAY RD, Menasha, WI 54952
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Secondary Practice Location 1

Location 1333 N Green Bay RdNeenah, WI 54956-1954 · Phone (920) 720-2300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Umhoefer 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 ID3274977814
PECOS Enrollment IDI20240222000231
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
66 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients

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.

DARLENE LEARY
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-2300
YONG LI
Psychiatry & Neurology (Psychiatry)
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-2300
LISA BREDAEL
Counselor
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-2300
LYNNE DREWS
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-2300
YVETTE SAMANTHA GOEBEL PH.D
Psychologist (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-3870
SAMANTHA JO PETERSEN APSW
Social Worker
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-2300
SHAUNA S VANDEN HOOGEN SAC
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-3700
JILL M CISAR
Social Worker (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952
Calumet County (920) 720-2300

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 Stephen Umhoefer's NPI number?

The NPI number for Stephen Umhoefer is 1558017103. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Stephen Umhoefer located?

Stephen Umhoefer practices at 1095 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 720-2300.

What is Stephen Umhoefer's specialty?

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

Is Stephen Umhoefer enrolled in Medicare?

Yes. Stephen Umhoefer 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.

What insurance does Stephen Umhoefer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 3 other insurers list Stephen Umhoefer 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 Stephen Umhoefer was last updated on December 8, 2023. 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.