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COUNSELING & DEVELOPMENT CENTER
NPI 1760524854
Counselor - Mental Health in Phillips, WI

Active since February 13, 2007
171 CHESTNUT ST, PHILLIPS, WI 54555(715) 339-3048(715) 339-2436 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Counseling & Development Center NPPES

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

COUNSELING & DEVELOPMENT CENTER (NPI 1760524854) is a healthcare organization registered as a mental health in Phillips, Wisconsin and active in the NPI registry since February 2007. The organization lists Julie Seidl, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1760524854
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOUNSELING & DEVELOPMENT CENTER
Location Address171 CHESTNUT STPhillips, WI 54555-1313
Mailing Address171 Chestnut St, Po Box 71Phillips, WI 54555-1313 · (715) 339-3048 · Fax (715) 339-2436
Phone(715) 339-3048
Fax(715) 339-2436
Organization SubpartNo
Authorized OfficialJulie SeidlFinancial Manager · (715) 339-3048
Enumeration DateFebruary 13, 2007
Last NPPES UpdateDecember 11, 2009
✔ NPI 1760524854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 1244
171 CHESTNUT ST, Phillips, WI 54555
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Other Identifiers 3

Medicaid42141300WI
Medicare ID-Type Unspecified000084299WI · Medicare
Other3931356642010WI · Blue Cross Blue Shiel

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Counseling & Development Center 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 Counseling & Development Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Koti Mannem, MD
Psychiatry
NPI 1720188717
3150 GERSHWIN DRIVE
Green Bay, WI 54311
(920) 391-4700
✔ PECOS145 mi
Randall Cullen, M.D.
Psychiatry
NPI 1255368346
6333 ODANA RD STE 20
Madison, WI 53719
(608) 212-4822
✔ PECOS187 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 Counseling & Development Center's NPI number?

The NPI number for Counseling & Development Center is 1760524854. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Counseling & Development Center located?

Counseling & Development Center is located at 171 Chestnut St, Phillips, WI 54555. The listed phone number is (715) 339-3048.

What is Counseling & Development Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Counseling & Development Center enrolled in Medicare?

Yes. Counseling & Development Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Counseling & Development Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Psychiatry, reassign their Medicare billing to Counseling & Development Center. 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.

When was this NPI record last updated?

The NPPES record for Counseling & Development Center was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.