Individual provider Active NPI

Penina Boros

  • Mental Health Counselor
  • Middleton, WI
National Provider Identifier
1326836602
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8500 Greenway Blvd Ste 102
Middleton, WI 53562-4713
Phone
(608) 516-1734
Fax
(608) 535-6874
NPI assigned
Apr 28, 2025
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 NU Primary

Addresses

Primary practice location

8500 Greenway Blvd Ste 102
Middleton, WI 53562-4713

Mailing address

2306 Chalet Gardens Rd Apt 4
Fitchburg, WI 53711-6027
Phone (763) 248-4755

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

Practice roles

OrganizationSpecialtyStatusNew patients
Four Winds Counseling LLC CurrentSince May 4, 2025 Accepting new patients

Locations

8500 Greenway Blvd
Ste 102
Middleton, WI 53562
Phone (608) 516-1734

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1326836602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 CHALET GARDENS RD APT 4",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116027",
            "telephone_number": "763-248-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 GREENWAY BLVD STE 102",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624713",
            "telephone_number": "608-516-1734",
            "fax_number": "608-535-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROS",
        "first_name": "PENINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.