PRABHU VENKATARAMAN LPC-IT
NPI 1558171017
Counselor - Mental Health in Beaver Dam, WI

Q: What is Prabhu Venkataraman's NPI number?

The NPI number for Prabhu Venkataraman is 1558171017. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Q: What is Prabhu Venkataraman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since January 08, 2025

1807 N CENTER ST STE 204, BEAVER DAM, WI 53916(920) 887-8751 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Prabhu Venkataraman Lpc-it NPPES

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

PRABHU VENKATARAMAN LPC-IT (NPI 1558171017) is an individual mental health provider in Beaver Dam, Wisconsin, licensed in Wisconsin (8241-226) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1558171017

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePRABHU VENKATARAMANCredential: LPC-IT

Location Address1807 N CENTER ST STE 204Beaver Dam, WI 53916-1005

Mailing Address420 Ellis StFond Du Lac, WI 54935-5211 · (309) 573-5154

Phone(920) 887-8751

Sole ProprietorYes

Enumeration DateJanuary 8, 2025

NPPES CertifiedJanuary 8, 2025

✔ NPI 1558171017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 8241-226

1807 N CENTER ST STE 204, Beaver Dam, WI 53916

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

AFFILIATED COUNSELING CENTER, INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

1807 N CENTER ST STE 204
BEAVER DAM, WI 53916

Dodge County (920) 887-8751

DANIELLE C PICKART

Counselor (Mental Health)

1807 N CENTER ST STE 204
BEAVER DAM, WI 53916

Dodge County (920) 887-8751

LISA LEE DERR LPC-IT

Counselor (Mental Health)

1807 N CENTER ST STE 204
BEAVER DAM, WI 53916

Dodge County (920) 887-8751

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 Prabhu Venkataraman's NPI number?

The NPI number for Prabhu Venkataraman is 1558171017. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Prabhu Venkataraman located?

Prabhu Venkataraman practices at 1807 N Center St Ste 204, Beaver Dam, WI 53916. The listed phone number is (920) 887-8751.

What is Prabhu Venkataraman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Prabhu Venkataraman was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.