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ERIC R DOWNS LPC
NPI 1831870013
Counselor - Professional in Crivitz, WI

Active since July 31, 2023PECOS Enrolled
W6779 ASPEN LN, CRIVITZ, WI 54114(217) 418-6945 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric R Downs Lpc NPPES

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

ERIC R DOWNS LPC (NPI 1831870013) is an individual professional provider in Crivitz, Wisconsin, licensed in Wisconsin (10521-125) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831870013
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameERIC R DOWNSCredential: LPC
Location AddressW6779 ASPEN LNCrivitz, WI 54114-7614
Mailing AddressW6779 Aspen LnCrivitz, WI 54114-7614 · (217) 418-6945
Phone(217) 418-6945
Sole ProprietorYes
Enumeration DateJuly 31, 2023
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1831870013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10521-125
W6779 ASPEN LN, Crivitz, WI 54114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric R Downs Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Eric Downs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Counseling Services, Inc
153 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191

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 Eric Downs's NPI number?

The NPI number for Eric Downs is 1831870013. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Eric Downs located?

Eric Downs practices at W6779 Aspen Ln, Crivitz, WI 54114. The listed phone number is (217) 418-6945.

What is Eric Downs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eric Downs enrolled in Medicare?

Yes. Eric Downs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Downs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Downs reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, 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 Eric Downs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Downs accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Eric Downs 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 Eric Downs was last updated on February 29, 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.