RED OAK COUNSELING OF WISCONSIN
NPI 1750151189
Psychologist - Clinical in Elm Grove, WI

Active since January 05, 2024
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122(704) 506-6267 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, Jan 5, 2024 (2 updates tracked since 2024).

About Red Oak Counseling Of Wisconsin NPPES

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

RED OAK COUNSELING OF WISCONSIN (NPI 1750151189) is a healthcare organization registered as a clinical in Elm Grove, Wisconsin and active in the NPI registry since January 2024. The organization lists Leslie Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750151189
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Location Address12970 W BLUEMOUND RD STE 200Elm Grove, WI 53122-2607
Mailing Address11000 Optum CirEden Prairie, MN 55344-2503 · (704) 506-6267
Organization SubpartNo
Authorized OfficialLeslie JohnsonCeo · (704) 506-6267
Enumeration DateJanuary 5, 2024
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1750151189 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.
12970 W BLUEMOUND RD STE 200, Elm Grove, WI 53122

Other Names 1

Doing Business AsRed Oak Counseling Of Wisconsin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Red Oak Counseling Of Wisconsin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Red Oak Counseling Of Wisconsin, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1184642746
1806 E FIR AVE SUITE 500
Fergus Falls, MN 56537
(218) 205-2743
✔ PECOS✔ Accepts Medicare452 mi
Clinical Social Worker
NPI 1376157313
217 FALLSBROOK RD
Timonium, MD 21093
(443) 465-8795
✔ PECOS645 mi

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 Optum Behavioral Care Of Colorado, P.C.'s NPI number?

The NPI number for Optum Behavioral Care Of Colorado, P.C. is 1750151189. It was assigned to this organization in the NPPES registry on January 5, 2024. The provider is doing business as Red Oak Counseling Of Wisconsin.

Where is Optum Behavioral Care Of Colorado, P.C. located?

Optum Behavioral Care Of Colorado, P.C. is located at 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122. The listed phone number is (704) 506-6267.

What is Optum Behavioral Care Of Colorado, P.C.'s specialty?

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

Is Optum Behavioral Care Of Colorado, P.C. enrolled in Medicare?

Yes. Optum Behavioral Care Of Colorado, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optum Behavioral Care Of Colorado, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Optum Behavioral Care Of Colorado, P.C.. 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 Optum Behavioral Care Of Colorado, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and HealthPartners list Optum Behavioral Care Of Colorado, P.C. 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 Optum Behavioral Care Of Colorado, P.C. was last updated on April 24, 2024. 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.