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IAN ROUDEBUSH
NPI 1710606520
Counselor - Professional in Brown Deer, WI

Active since August 24, 2022PECOS Enrolled
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209(414) 540-2170 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ian Roudebush NPPES

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

IAN ROUDEBUSH (NPI 1710606520) is an individual professional provider in Brown Deer, Wisconsin and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710606520
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameIAN ROUDEBUSH
Location Address3900 W BROWN DEER RD STE 200Brown Deer, WI 53209-1220
Mailing Address3900 W Brown Deer Rd Ste 200Brown Deer, WI 53209-1220 · (414) 540-2170
Phone(414) 540-2170
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1710606520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3900 W BROWN DEER RD STE 200, Brown Deer, WI 53209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Roudebush is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618444779
PECOS Enrollment IDI20260427000046
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.

MELISSA KOFF
Social Worker (Clinical)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
JENNA MOHELNITZKY LCSW
Social Worker (Clinical)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
ANASTACIA CLUCAS
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
JENNIFER JEAN HANSEN
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
HARRISON BJORBACK
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
SUSELL ZARZA-O'NEILL
Social Worker (Clinical)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
GERRI WILSON-CLAYTON
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170
RUBIN MARSHAK
Counselor (Professional)
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209
Milwaukee County (414) 540-2170

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 Ian Roudebush's NPI number?

The NPI number for Ian Roudebush is 1710606520. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Ian Roudebush located?

Ian Roudebush practices at 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209. The listed phone number is (414) 540-2170.

What is Ian Roudebush's specialty?

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

Is Ian Roudebush enrolled in Medicare?

Yes. Ian Roudebush is registered in the Medicare PECOS enrollment system.

What insurance does Ian Roudebush accept?

Health plans from Network Health and UnitedHealthcare list Ian Roudebush 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 Ian Roudebush was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.