Individual provider Active NPI

Constance K Virnig, LPC

  • Mental Health Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1174895809
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4719-125 Issued in WI
Practice address
111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone
(715) 421-8845
Fax
(715) 421-2266
NPI assigned
Jan 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 4719-125 WI Primary

Addresses

Primary practice location

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

Mailing address

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8845

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
I20250411001656 WI Practitioner - Mental Health Counselor 5193252427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of WoodGroup PAC ID 3476554692, 15 clinicians

Practice addresses (Care Compare)

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Jan Nelson PHD PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1174895809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRNIG",
        "first_name": "CONSTANCE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4719-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.