Individual provider Active NPI

Mishell Varecka, LPC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1013690213
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7520-226 Issued in WI
Practice address
2000 Fordem Ave
Madison, WI 53704-4600
Phone
(608) 455-6070
Fax
(608) 455-0883
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7520-226 WI Primary

Addresses

Primary practice location

2000 Fordem Ave
Madison, WI 53704-4600

Mailing address

2000 Fordem Ave
Madison, WI 53704-4600
Phone (608) 455-6070

Other practice location 1

2701 International Ln Ste 201
Madison, WI 53704-3126
Phone (608) 268-6530

Other names 1

  • Mishell Smith Former name

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
I20251121001160 WI Practitioner - Mental Health Counselor 3072005685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 W Glen Oaks LN
Suite 105
Mequon, WI 53092-3369

4329 Sequoia Dr
Windsor, WI 53598-9613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7520-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Counseling and Consultation LLC Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Anesis Foundation for Mental Health Inc. CurrentSince Feb 24, 2026 Accepting new patients
Anesis Center for Marriage and Family Therapy Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Locations

815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530

2000 Fordem Ave
Madison, WI 53704
Phone (608) 280-2740

2701 International Ln
Ste 201
Madison, WI 53704
Phone (608) 268-6530

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

2000 Engel St
Ste 201
Monona, WI 53713
Phone (608) 255-5135

Organizations & group practices 3

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1013690213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044600",
            "telephone_number": "608-455-6070",
            "fax_number": "608-455-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044600",
            "telephone_number": "608-455-6070",
            "fax_number": "608-455-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 International Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537043126",
            "country_code": "US",
            "telephone_number": "608-268-6530",
            "fax_number": "608-709-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARECKA",
        "first_name": "MISHELL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7520-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISHELL",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.