INTENTIONAL PSYCHOLOGY LLC
NPI 1699469411
Psychologist - Clinical in Waukesha, WI

Q: What is Intentional Psychology LLC's NPI number?

The NPI number for Intentional Psychology LLC is 1699469411. It was assigned to this organization in the NPPES registry on June 5, 2023.

Q: What is Intentional Psychology LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 05, 2023

N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188(414) 279-9082(414) 501-4399 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2026, Jan 26, 2026, Jun 5, 2023 (3 updates tracked since 2023).

On this page

About Intentional Psychology Llc NPPES

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

INTENTIONAL PSYCHOLOGY LLC (NPI 1699469411) is a healthcare organization registered as a clinical in Waukesha, Wisconsin and active in the NPI registry since June 2023. The organization lists Shanna R Thomsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1699469411

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameINTENTIONAL PSYCHOLOGY LLC

Location AddressN14W23777 STONE RIDGE DR STE 135Waukesha, WI 53188-1164

Mailing AddressN14w23777 Stone Ridge Dr Ste 135Waukesha, WI 53188-1164 · (414) 279-9082 · Fax (414) 501-4399

Phone(414) 279-9082

Fax(414) 501-4399

Organization SubpartNo

Authorized OfficialShanna R ThomsenOwner · (414) 279-9082

Enumeration DateJune 5, 2023

Last NPPES UpdateApril 24, 20263 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1699469411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

N14W23777 STONE RIDGE DR STE 135, Waukesha, WI 53188

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intentional Psychology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Intentional Psychology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shanna Thomsen

Clinical Psychologist

NPI 1417438250

N14W23777 STONE RIDGE DR STE 135
Waukesha, WI 53188

(414) 279-9082

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Intentional Psychology LLC's NPI number?

The NPI number for Intentional Psychology LLC is 1699469411. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Intentional Psychology LLC located?

Intentional Psychology LLC is located at N14w23777 Stone Ridge Dr Ste 135, Waukesha, WI 53188. The listed phone number is (414) 279-9082.

What is Intentional Psychology LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Intentional Psychology LLC enrolled in Medicare?

Yes. Intentional Psychology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intentional Psychology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Intentional Psychology LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Intentional Psychology LLC accept?

Health plans from Quartz list Intentional Psychology LLC 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 Intentional Psychology LLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.