Active NPI
Tina Cummins, MA, LPC-IT
- Professional Counselor
- Neenah, WI
National Provider Identifier
1316654155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7153-226
- Practice address
- 1509 S Commercial St
Neenah, WI 54956-6152 - Phone
- (920) 722-1805
- Fax
- (920) 722-0142
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7153-226 | WI | Primary |
Addresses
Primary practice location
1509 S Commercial St
Neenah, WI 54956-6152
Mailing address
1509 S Commercial St
Neenah, WI 54956-6152
Phone (920) 722-1805
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1509 S Commercial St
Neenah, WI 54956-6152
Phone (920) 722-8150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7153-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Counseling Services, Inc. | Professional | Current | Accepting new patients |
Locations
1509 S Commercial St
Neenah, WI 54956
Phone (920) 470-4503
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": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1316654155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 S COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549566152",
"telephone_number": "920-722-1805",
"fax_number": "920-722-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 S COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549566152",
"telephone_number": "920-722-1805",
"fax_number": "920-722-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "TINA",
"credential": "MA, LPC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7153-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.