Individual provider Active NPI

Amy M Polzin, MA

  • Professional Counselor
  • Greenville, WI
National Provider Identifier
1174042782
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7538-125 Issued in WI
Practice address
W6751 Shaylee TRL
Greenville, WI 54942-7804
Phone
(920) 777-7501
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 7538-125 WI Primary

Addresses

Primary practice location

W6751 Shaylee TRL
Greenville, WI 54942-7804

Mailing address

4764 W Integrity Way # 146
Appleton, WI 54913-8464
Phone (920) 777-7501

Other names 1

  • Amy M Heller, Patterson, Patterson-Bibbs 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
I20240506000108 WI Practitioner - Mental Health Counselor 7810337086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinic for Christian Counseling LLCGroup PAC ID 0547438848, 6 clinicians

Practice addresses (Care Compare)

3410 Oakwood Mall Dr
Suite 700
Eau Claire, WI 54701-2617
Phone 7158321678106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Christian Counseling LLC CurrentSince Feb 21, 2024 Accepting new patients
Cornerstone Counseling Services, Inc PastSince Jul 24, 2022 Accepting new patients
Eternal Focus Christian Counseling LLC Professional Past Accepting new patients

Locations

505 S Dewey St
Ste 208
Eau Claire, WI 54701
Phone (715) 504-0908

3410 Oakwood Mall Dr
Ste 700
Eau Claire, WI 54701
Phone (715) 832-1678

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1174042782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 W INTEGRITY WAY # 146",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138464",
            "telephone_number": "920-777-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6751 SHAYLEE TRL",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549427804",
            "telephone_number": "920-777-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLZIN",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7538-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HELLER, PATTERSON, PATTERSON-BIBBS",
            "middle_name": "M",
            "credential": "LPC, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, WI

Sources for this page

Verify at the official NPI Registry.