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MEREDITH HEAD MS, LPC
NPI 1780436113
Counselor - Mental Health in Milwaukee, WI

Active since April 01, 2024PECOS Enrolled
4200 N HOLTON ST STE 400, MILWAUKEE, WI 53212(414) 964-2565 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Meredith Head Ms, Lpc NPPES

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

MEREDITH HEAD MS, LPC (NPI 1780436113) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (10954-125) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780436113
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMEREDITH HEADCredential: MS, LPC
Location Address4200 N HOLTON ST STE 400Milwaukee, WI 53212-1027
Mailing Address4035 N Stowell AveShorewood, WI 53211-2133 · (414) 324-7772
Phone(414) 964-2565
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1780436113 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 · 10954-125
4200 N HOLTON ST STE 400, Milwaukee, WI 53212
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith Head Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335606870
PECOS Enrollment IDI20260805001423
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Meredith Head reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
634 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNOR JOHN NOVACK LCSW
Social Worker (Clinical)
4200 N HOLTON ST STE 400
MILWAUKEE, WI 53212
Milwaukee County (262) 305-0948
VERONICA GARTLAND LCSW
Social Worker (Clinical)
4200 N HOLTON ST STE 400
MILWAUKEE, WI 53212
Milwaukee County (414) 533-7116
BREANNA KOCEN
Social Worker (Clinical)
4200 N HOLTON ST STE 400
MILWAUKEE, WI 53212
Milwaukee County (414) 964-2565
KE'ANDRA L HAGANS MSW, LCSW
Social Worker (Clinical)
4200 N HOLTON ST STE 400
MILWAUKEE, WI 53212
Milwaukee County (414) 810-1535
PATHFINDERS
Community/Behavioral Health
4200 N HOLTON ST STE 400
MILWAUKEE, WI 53212
Milwaukee County (414) 964-2565

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 Meredith Head's NPI number?

The NPI number for Meredith Head is 1780436113. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Meredith Head located?

Meredith Head practices at 4200 N Holton St Ste 400, Milwaukee, WI 53212. The listed phone number is (414) 964-2565.

What is Meredith Head's specialty?

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

Is Meredith Head enrolled in Medicare?

Yes. Meredith Head is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Meredith Head's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meredith Head reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The 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 Meredith Head's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Meredith Head was last updated on April 1, 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.