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CORYNN KATHLEEN WARTGOW MS LPC, SAC-IT
NPI 1912644048
Counselor - Professional in Menomonie, WI

Active since May 19, 2022PECOS Enrolled
800 WILSON AVE RM 330, MENOMONIE, WI 54751(715) 256-7166(888) 427-8048 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Mar 10, 2025, Oct 10, 2024 and 4 more (7 updates tracked since 2022).

About Corynn Kathleen Wartgow Ms Lpc, Sac-it NPPES

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

CORYNN KATHLEEN WARTGOW MS LPC, SAC-IT (NPI 1912644048) is an individual professional provider in Menomonie, Wisconsin, licensed in Wisconsin (11329-125) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912644048
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCORYNN KATHLEEN WARTGOWCredential: MS LPC, SAC-IT
Location Address800 WILSON AVE RM 330Menomonie, WI 54751-2746
Mailing Address800 Wilson Ave Rm 330Menomonie, WI 54751-2746 · (715) 256-7166 · Fax (888) 427-8048
Phone(715) 256-7166
Fax(888) 427-8048
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 19, 2022
Last NPPES UpdateMarch 24, 20257 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1912644048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11329-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19533-130 (WI)
800 WILSON AVE RM 330, Menomonie, WI 54751
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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, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corynn Kathleen Wartgow Ms Lpc, Sac-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597240671
PECOS Enrollment IDI20260326002329
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.

Other Providers at the Same Location NPPES 19

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

KIERSTEN LYNETTE BUCK LPC, SAC
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
RACHEL MOE
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
KELLEY RAE MENDALSKI M.S., LPC
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
VICTORIA ROSE PERRON
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7116
ELIZABETH J SPROUL
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
TERESA DEMURO MS LPC-IT
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
VICTORIA BROSES MS
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
MARISSA ANN GRAMOLL MS
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166

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 Corynn Wartgow's NPI number?

The NPI number for Corynn Wartgow is 1912644048. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Corynn Wartgow located?

Corynn Wartgow practices at 800 Wilson Ave Rm 330, Menomonie, WI 54751. The listed phone number is (715) 256-7166.

What is Corynn Wartgow's specialty?

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

Is Corynn Wartgow enrolled in Medicare?

Yes. Corynn Wartgow is registered in the Medicare PECOS enrollment system.

What insurance does Corynn Wartgow accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan and 1 other insurer list Corynn Wartgow 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 Corynn Wartgow was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.