GREAT LAKES CLINIC AND CONSULTANTS
NPI 1780159004
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sheboygan, WI
About Great Lakes Clinic And Consultants NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES CLINIC AND CONSULTANTS (NPI 1780159004) is a healthcare organization registered as a mental health (including community mental health center) in Sheboygan, Wisconsin and active in the NPI registry since October 2018. The organization lists David Dich, Ceo, 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)
Great Lakes Clinic And Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Great Lakes Clinic And Consultants, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Great Lakes Clinic And Consultants's NPI number?
The NPI number for Great Lakes Clinic And Consultants is 1780159004. It was assigned to this organization in the NPPES registry on October 13, 2018.
Where is Great Lakes Clinic And Consultants located?
Great Lakes Clinic And Consultants is located at 1407 North 8th Street Suite 203, Sheboygan, WI 53081. The listed phone number is (920) 415-0505.
What is Great Lakes Clinic And Consultants's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Great Lakes Clinic And Consultants enrolled in Medicare?
Yes. Great Lakes Clinic And Consultants is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Clinic And Consultants?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Great Lakes Clinic And Consultants. 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 Great Lakes Clinic And Consultants accept?
Health plans from Anthem Blue Cross and Blue Shield list Great Lakes Clinic And Consultants 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 Great Lakes Clinic And Consultants was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Great Lakes Clinic And Consultants · NPI 1780159004
Mental Health (Including Community Mental Health Center) organization in Sheboygan, Wisconsin. Organization record, active in the CMS NPPES registry since October 13, 2018.
## Identity
- **NPI:** 1780159004 (Entity type: Organization)
- **Enumerated:** October 13, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** David Dich, CEO
## Practice location
- **Address:** 1407 NORTH 8TH STREET, SUITE 203, Sheboygan, WI 53081
- **Phone:** (920) 415-0505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780159004) · Data from the CMS NPPES public registry.