Individual provider Active NPI

Virginia Kay Welle, MS, LPC-IT

  • Professional Counselor
  • Chippewa Falls, WI
National Provider Identifier
1003394420
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4021-226 Issued in WI
Practice address
509 E South Ave
Chippewa Falls, WI 54729-3402
Phone
(715) 861-7762
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4021-226 WI Primary

Addresses

Primary practice location

509 E South Ave
Chippewa Falls, WI 54729-3402

Mailing address

22872 County Highway Q
New Auburn, WI 54757-5414
Phone (715) 933-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000885 WI Practitioner - Mental Health Counselor 5294243879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4021-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Halcyon Wellness LLC CurrentSince May 19, 2025 Accepting new patients

Locations

345 Frenette Dr
Ste 4
Chippewa Falls, WI 54729
Phone (715) 861-7762

509 E South Ave
Chippewa Fls, WI 54729
Phone (715) 726-9077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1003394420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22872 COUNTY HIGHWAY Q",
            "city": "NEW AUBURN",
            "state": "WI",
            "postal_code": "547575414",
            "telephone_number": "715-933-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E SOUTH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293402",
            "telephone_number": "715-861-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLE",
        "first_name": "VIRGINIA",
        "middle_name": "KAY",
        "credential": "MS, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4021-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.