Nicole Catherine Wiswell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11272-125 Issued in WI

Practice address

7633 Ganser Way Ste 204
Madison, WI 53719-2092

Phone

(608) 829-1800

NPI assigned

Oct 10, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Solutions SCGroup PAC ID 1254362312, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mental Health Solutions, S.C.

  • Mental Health Counselor
  • Madison, WI
  • NPI 1548320146
  Medicare reassignment Care Compare group NPD
• Mental Health Solutions SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1912948324
  NPD (past)

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1003636556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 MICKELSON PKWY APT 106",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116475",
            "telephone_number": "262-473-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092",
            "telephone_number": "608-829-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISWELL",
        "first_name": "NICOLE",
        "middle_name": "CATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11272-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Braun Wisinski, MD
• Leah Suzanne Wisniewski, PA-C
• Han Kyung Lee Wissink, PHARMD
• Shelly Wissink, MS, LPC
• Megan Wissler, DPT
• Alex M Witek
• Matthew Edward Witek, MD
• With in Sight, LLC
• Michael T Witkovsky, MD
• Jeremy Witkowski, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.