IN DEPTH PSYCHOTHERAPY, LLC
NPI 1730879503
Community/Behavioral Health in Wauwatosa, WI
About In Depth Psychotherapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IN DEPTH PSYCHOTHERAPY, LLC (NPI 1730879503) is a healthcare organization registered as a community/behavioral health in Wauwatosa, Wisconsin and active in the NPI registry since May 2023. The organization lists Carli Gurholt, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
In Depth Psychotherapy, 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 In Depth Psychotherapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 In Depth Psychotherapy, LLC's NPI number?
The NPI number for In Depth Psychotherapy, LLC is 1730879503. It was assigned to this organization in the NPPES registry on May 15, 2023.
Where is In Depth Psychotherapy, LLC located?
In Depth Psychotherapy, LLC is located at 10425 W North Ave Ste 239, Wauwatosa, WI 53226. The listed phone number is (715) 281-9259.
What is In Depth Psychotherapy, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is In Depth Psychotherapy, LLC enrolled in Medicare?
Yes. In Depth Psychotherapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through In Depth Psychotherapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to In Depth Psychotherapy, 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 In Depth Psychotherapy, LLC accept?
Health plans from Quartz and Security Health Plan list In Depth Psychotherapy, 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 In Depth Psychotherapy, LLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# In Depth Psychotherapy, Llc · NPI 1730879503
Community/Behavioral Health organization in Wauwatosa, Wisconsin. Organization record, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1730879503 (Entity type: Organization)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Carli Gurholt, PSYCHOLOGIST
## Practice location
- **Address:** 10425 W NORTH AVE STE 239, Wauwatosa, WI 53226-2416
- **Phone:** (715) 281-9259
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychologist Billing Independently) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730879503) · Data from the CMS NPPES public registry.