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MICAELLA MARIA VANDENBOOM LPC
NPI 1841969151
Counselor - Professional in De Pere, WI

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
1325 ANGELS PATH, DE PERE, WI 54115(920) 338-2855(920) 338-9270 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Micaella Maria Vandenboom Lpc NPPES

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

MICAELLA MARIA VANDENBOOM LPC (NPI 1841969151) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (7857-125) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1841969151
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICAELLA MARIA VANDENBOOMCredential: LPC
Location Address1325 ANGELS PATHDe Pere, WI 54115-4050
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 338-2855
Fax(920) 338-9270
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1841969151 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 · 7857-125
1325 ANGELS PATH, De Pere, WI 54115
Open in Google Maps ↗

Other Names 1

Former Name (1)Micaella M Schneider Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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 and accepts Medicare assignment

Micaella Maria Vandenboom Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173974862
PECOS Enrollment IDI20240106000762
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 Reassignments

2

Medicare enrollment records show Micaella Vandenboom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Psychiatric Center Inc
Same address
Mental Health
1325 ANGELS PATH
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
NPI 1588025720 (920) 433-3630
Bellin Memorial Hospital Inc
1.4 mi
Pediatrics
555 REDBIRD CIR
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1235192592 (920) 338-6820

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.

MARGARET M BROCHOCKI APNP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MS. DEANNA L DITTLOFF
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
COURTNEY L KROLIKOWSKI LPC, LCMHC, NCC
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
ASPEN MARIE VAN STRATEN APNP
Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
DANIELLE M EVENSON LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MR. CHARLES J LATORRE LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MRS. GRETCHEN ANNE EBELT MSW,LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MICAYLA M SELISSEN LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855

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 Micaella Vandenboom's NPI number?

The NPI number for Micaella Vandenboom is 1841969151. It was assigned to this individual provider in the NPPES registry on September 9, 2021. The provider is also known as Micaella M Schneider Lpc.

Where is Micaella Vandenboom located?

Micaella Vandenboom practices at 1325 Angels Path, De Pere, WI 54115. The listed phone number is (920) 338-2855.

What is Micaella Vandenboom's specialty?

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

Is Micaella Vandenboom enrolled in Medicare?

Yes. Micaella Vandenboom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Micaella Vandenboom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micaella Vandenboom reassigns Medicare benefits to 2 organizations: Bellin Psychiatric Center Inc (De Pere, WI) and Bellin Memorial Hospital Inc (De Pere, WI). Each 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 Micaella Vandenboom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Micaella Vandenboom accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare list Micaella Vandenboom 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 Micaella Vandenboom was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.