Mainstreet Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MAINSTREET COUNSELING LLC

Practice address

1717 11TH St
Monroe, WI 53566-1839

Phone

(608) 214-6225

NPI assigned

Dec 29, 2019

Last updated

Apr 7, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MAINSTREET COUNSELING LLCAs reported in NPPES

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

Authorized official

Name

Angie Douglas

Title

Owner

Phone

(608) 324-4654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Part of

Mainstreet Counseling LLC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Douglas, LPC

  • Professional Counselor
  • Albany, WI
  • NPI 1073920740
  Medicare reassignment NPD
• Paula LH Vestin, NCC LPC

  • Professional Counselor
  • Monroe, WI
  • NPI 1376202556
  NPD
• Madeline Anne Bartelt, LPC

  • Professional Counselor
  • Monroe, WI
  • NPI 1851210710
  NPD (past)

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1386283034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661839",
            "telephone_number": "608-324-4654",
            "fax_number": "608-324-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661839",
            "telephone_number": "608-214-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINSTREET COUNSELING LLC",
        "enumeration_date": "2019-12-29",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-324-4654"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lu, PHARMD
• Gina Ann Lundervold-Foley, MS
• Shauna Mackenzie, PHARMD
• Robert B Macnack, M.D.
• Riley Kathleen Magoon, OTD, OTR/L
• Brian D Mamott, PHD
• Jodi L Manske, RDH
• Nicole Maroon, PA-C
• Joni Marty
• Kathryn Leigh Matson, COTA

• Professional Counselor in Monroe, WI
• Providers in Monroe, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.