DEBORA LEA HUMPHREY
NPI 1699161166
Counselor - Professional in Beloit, WI

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
74 ECLIPSE CTR, BELOIT, WI 53511(608) 361-0311 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Debora Lea Humphrey NPPES

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

DEBORA LEA HUMPHREY (NPI 1699161166) is an individual professional provider in Beloit, Wisconsin, licensed in Wisconsin (7886-125) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elgin, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1699161166
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEBORA LEA HUMPHREY
Location Address74 ECLIPSE CTRBeloit, WI 53511-3550
Mailing Address74 Eclipse CtrBeloit, WI 53511-3550 · (608) 361-0311
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 12, 2015
Last NPPES UpdateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
NPI 1699161166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 7886-125
74 ECLIPSE CTR, Beloit, WI 53511

Secondary Practice Location 1

Location 11845 Grandstand PlElgin, IL 60123-6603 · Phone (847) 695-0484

Accepted 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

Debora Lea Humphrey 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 ID840638342
PECOS Enrollment IDI20240403001116
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.

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.

Dentist (General Practice)
74 ECLIPSE CTR
BELOIT, WI 53511
Dentist
74 ECLIPSE CTR
BELOIT, WI 53511
Dental Hygienist
74 ECLIPSE CTR
BELOIT, WI 53511
Physician Assistant (Medical)
74 ECLIPSE CTR
BELOIT, WI 53511
Dental Hygienist
74 ECLIPSE CTR
BELOIT, WI 53511
Physician Assistant
74 ECLIPSE CTR
BELOIT, WI 53511
Counselor (Mental Health)
74 ECLIPSE CTR
BELOIT, WI 53511
Nurse Practitioner (Pediatrics)
74 ECLIPSE CTR
BELOIT, WI 53511

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 Debora Humphrey's NPI number?

The NPI number for Debora Humphrey is 1699161166. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Debora Humphrey located?

Debora Humphrey practices at 74 Eclipse Ctr, Beloit, WI 53511. The listed phone number is (608) 361-0311.

What is Debora Humphrey's specialty?

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

Is Debora Humphrey enrolled in Medicare?

Yes. Debora Humphrey 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 Debora Humphrey accept?

Health plans from MercyCare Health Plans and Quartz list Debora Humphrey 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 Debora Humphrey was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.