Corazon Counseling and Wellness
Organization Active NPI Clinical Social Worker · Poynette, WI
NPI 1386401883 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1386401883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CORAZON COUNSELING AND WELLNESS
- Practice address
- 110 N Main St
Poynette, WI 53955-9329 - Phone
- (608) 604-8609
- NPI assigned
- Mar 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Brook Landeo, LCSW
- Title
- Mental Health Therapist
- Phone
- (608) 604-8609
Practitioners 7
-
Brook Landeo, LCSW
-
Diane Kay Anderson, LPC
-
Steven James Miller, APSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240508000438 | WI | Part B Supplier - Clinic/Group Practice | 2769823848 |
Receives reassigned benefits from 3 practitioners Practice locations: Poynette, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
110 N Main St
Poynette, WI 53955-9329
Mailing address
110 N Main St
Poynette, WI 53955-9329
Phone (608) 604-8609
Other providers in Poynette, WI
- Keri Abegglen
- Brittni Branton
- Denise Brusveen
- Beth Burke
- Evelyn Jeanette Buss
- Gail Suzanne Dartt
- Douglas Michael Dederich
- Dean John Dyke
- Mary Fryk Elsing
- Brittany Falk
All providers in Poynette, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.