MARY CLAIRE GINTOLI LPC-IT
NPI 1730954736
Counselor - Professional in Hales Corners, WI
About Mary Claire Gintoli Lpc-it NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CLAIRE GINTOLI LPC-IT (NPI 1730954736) is an individual professional provider in Hales Corners, Wisconsin, licensed in Wisconsin (7403-226) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Claire Gintoli Lpc-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mary Gintoli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 26 clinicians in this Medicare group
- Reassigned Medicare billing, Wisconsin enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HALES CORNERS, WI 53130
HALES CORNERS, WI 53130
HALES CORNERS, WI 53130
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 Mary Gintoli's NPI number?
The NPI number for Mary Gintoli is 1730954736. It was assigned to this individual provider in the NPPES registry on November 20, 2023. The provider is also known as Mary Claire Lartz Lpc-It.
Where is Mary Gintoli located?
Mary Gintoli practices at 5250 S 108th St, Hales Corners, WI 53130. The listed phone number is (414) 975-1316.
What is Mary Gintoli's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Gintoli enrolled in Medicare?
Yes. Mary Gintoli is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Gintoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gintoli reassigns Medicare benefits to 2 organizations: Empyrean Ventures Inc (Waukesha, WI) and Stigmacure Sc (WI). Each 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 Mary Gintoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Gintoli accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and UnitedHealthcare list Mary Gintoli 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 Mary Gintoli was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mary Claire Gintoli, LPC-IT · NPI 1730954736
Professional provider in Hales Corners, Wisconsin. Individual provider, active in the CMS NPPES registry since November 20, 2023.
## Identity
- **NPI:** 1730954736 (Entity type: Individual)
- **Enumerated:** November 20, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7403-226 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5250 S 108TH ST, Hales Corners, WI 53130-1321
- **Phone:** (414) 975-1316
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Empyrean Ventures Inc (NPI 1801637228, Waukesha, WI); Stigmacure Sc (WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730954736) · Data from the CMS NPPES public registry.