Individual provider Active NPI

Rita M Udelhoven, M.A.

  • Counselor
  • Platteville, WI
National Provider Identifier
1154412575
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4074-125 Issued in WI
Practice address
6861 N 2ND St
Platteville, WI 53818-9784
Phone
(608) 345-9124
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4074-125 WI Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6861 N 2ND St
Platteville, WI 53818-9784

Mailing address

6861 N 2ND St
Platteville, WI 53818-9784
Phone (608) 345-9124

Other identifiers 1

IdentifierTypeStateIssuer
40948100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4074-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Solutions Counseling, LLC Counselor CurrentSince Dec 3, 2023 Accepting new patients

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1154412575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 N 2ND ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189784",
            "telephone_number": "608-345-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 N 2ND ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189784",
            "telephone_number": "608-345-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDELHOVEN",
        "first_name": "RITA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "4074-125",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40948100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.