Individual provider Active NPI

Victoria Ducoffe

  • Mental Health Counselor
  • Hales Corners, WI
National Provider Identifier
1407628167
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11398-125 Issued in WI
Practice address
5250 S 108TH St
Hales Corners, WI 53130-1321
Phone
(414) 296-1730
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 11398-125 WI Primary

Addresses

Primary practice location

5250 S 108TH St
Hales Corners, WI 53130-1321

Mailing address

5250 S 108TH St
Hales Corners, WI 53130-1321
Phone (414) 296-1730

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
I20260219001328 WI Practitioner - Mental Health Counselor 6002396850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stigmacure SCGroup PAC ID 0143672741, 6 clinicians
Empyrean Ventures, IncGroup PAC ID 9537600382, 9 clinicians

Practice addresses (Care Compare)

5250 S 108TH St
Hales Corners, WI 53130-1321
Phone (414) 296-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11398-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empyrean Ventures Inc Mental Health CurrentSince Mar 1, 2026 Accepting new patients
Stigmacure SC CurrentSince Jan 10, 2026 Accepting new patients
Integrative Psyche, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

5250 S 108th St
Hales Corners, WI 53130
Phone (414) 296-1730

Organizations & group practices 3

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1407628167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301321",
            "telephone_number": "414-296-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301321",
            "telephone_number": "414-296-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOFFE",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11398-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

Verify at the official NPI Registry.