Maria Gloria Vercimak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5997-125 Issued in WI

Practice address

444 N Westhill Blvd
Appleton, WI 54914-5715

Phone

(920) 750-7000

Fax

(920) 364-2451

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Maria Gloria Spiegel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catalpa Health

  • Community/Behavioral Health Agency
  • Appleton, WI
  • NPI 1386992451
  NPD (past)
• Catalpa Health

  • Adolescent and Children Mental Health Clinic/Center
  • Appleton, WI
  • NPI 1770967762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1003279753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N WESTHILL BLVD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145715",
            "telephone_number": "920-735-7480",
            "fax_number": "920-364-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N WESTHILL BLVD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145715",
            "telephone_number": "920-750-7000",
            "fax_number": "920-364-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCIMAK",
        "first_name": "MARIA",
        "middle_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5997-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SPIEGEL",
            "middle_name": "GLORIA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mara L Veltus
• Ven Mental Health and TMS Services of Wisconsin LLC
• Catherine Elizabeth Ventura, LPC-IT, ATR-BC
• Venvisor Health Wisconsin LLC
• Karla M Verboncouer, PT
• Andrea Verhagen Aznar, BTT
• Laura Ann Verhagen, D.O.
• Andrew Verhoeven, PT, DPT
• Robert J Verkins
• Haley Joy Verkuilen, RN, BSN

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.