Gregory Richard Rowe

Individual provider Active NPI Mental Health Counselor · Wisconsin Dells, WI

NPI 1063196558 · NPPES record last updated Jun 14, 2023

Key facts

NPI
1063196558
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
N8427 Fox Run Rd
Wisconsin Dells, WI 53965-8711
Phone
(608) 852-7976
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
Yes

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.

Medicare Care Compare profile

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

Practice addresses (Care Compare)

PO Box
Suite 454
Waunakee, WI 53597

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260416001877 WI Practitioner - Mental Health Counselor 6608342712 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WI Yes

Addresses

Primary practice location

N8427 Fox Run Rd
Wisconsin Dells, WI 53965-8711

Mailing address

N8427 Fox Run Rd
Wisconsin Dells, WI 53965-8711
Phone (608) 852-7976

Other providers in Wisconsin Dells, WI

All providers in Wisconsin Dells, WI · Mental Health Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.