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CORRIN ELIZABETH VAN LANEN
NPI 1912542895
Counselor - Mental Health in Port Washington, WI

Active since November 14, 2019Opted out of Medicare · through Jan 1, 2028
127 N FRANKLIN ST STE 207, PORT WASHINGTON, WI 53074(262) 235-4385 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Nov 14, 2019 (2 updates tracked since 2019).

About Corrin Elizabeth Van Lanen NPPES

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

CORRIN ELIZABETH VAN LANEN (NPI 1912542895) is an individual mental health provider in Port Washington, Wisconsin, licensed in Wisconsin (10299125) and active in the NPI registry since November 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1912542895
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORRIN ELIZABETH VAN LANEN
Location Address127 N FRANKLIN ST STE 207Port Washington, WI 53074-1948
Mailing Address127 N Franklin St Ste 207Port Washington, WI 53074-1948 · (414) 310-0365
Phone(262) 235-4385
Sole ProprietorNo
Enumeration DateNovember 14, 2019
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1912542895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 10299125
Also ListedCounselorTaxonomy 101Y00000X · License 0501216 (OH)
127 N FRANKLIN ST STE 207, Port Washington, WI 53074
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Corrin Elizabeth Van Lanen has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

BEST SELF COUNSELING CENTER LLP
Clinic/Center (Mental Health (Including Community Mental Health Center))
127 N FRANKLIN ST STE 207
PORT WASHINGTON, WI 53074
Ozaukee County (920) 602-1634

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 Corrin Van Lanen's NPI number?

The NPI number for Corrin Van Lanen is 1912542895. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Corrin Van Lanen located?

Corrin Van Lanen practices at 127 N Franklin St Ste 207, Port Washington, WI 53074. The listed phone number is (262) 235-4385.

What is Corrin Van Lanen's specialty?

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

Is Corrin Van Lanen enrolled in Medicare?

No. Corrin Van Lanen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Corrin Van Lanen was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.