MS. THERESA JOY DITLOW LPC
NPI 1831526219
Counselor - Professional in Madison, WI
About Ms. Theresa Joy Ditlow Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THERESA JOY DITLOW LPC (NPI 1831526219) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (5019-125) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monroe, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Ms. Theresa Joy Ditlow Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Ditlow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53704
- Reassigned Medicare billing, Wisconsin enrollment
- 36 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theresa Ditlow's NPI number?
The NPI number for Theresa Ditlow is 1831526219. It was assigned to this individual provider in the NPPES registry on October 1, 2013.
Where is Theresa Ditlow located?
Theresa Ditlow practices at 128 E Olin Ave, Madison, WI 53713. The listed phone number is (608) 252-1333.
What is Theresa Ditlow's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Theresa Ditlow enrolled in Medicare?
Yes. Theresa Ditlow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Ditlow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Ditlow reassigns Medicare benefits to Insight Counseling & Wellness, LLC (Madison, WI). 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 Theresa Ditlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Ditlow accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Theresa Ditlow 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 Theresa Ditlow was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Theresa Joy Ditlow, LPC · NPI 1831526219
Professional provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since October 1, 2013.
## Identity
- **NPI:** 1831526219 (Entity type: Individual)
- **Enumerated:** October 1, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 5019-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 128 E OLIN AVE, Madison, WI 53713
- **Phone:** (608) 252-1333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Insight Counseling & Wellness, LLC (NPI 1447673702, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1831526219) · Data from the CMS NPPES public registry.