Individual provider Active NPI

Michaela L Voeck, LPC, CSAC

  • Mental Health Counselor
  • Monona, WI
National Provider Identifier
1427358431
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4628 Issued in WI
Practice address
1532 W Broadway Ste 202
Monona, WI 53713-1828
Phone
(608) 661-2829
Fax
(608) 661-0907
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15597 WI
Mental Health Counselor 101YM0800X 4628 WI Primary

Addresses

Primary practice location

1532 W Broadway Ste 202
Monona, WI 53713-1828

Mailing address

1532 W Broadway Ste 202
Monona, WI 53713-1828
Phone (608) 661-2829

Other identifiers 1

IdentifierTypeStateIssuer
100013316MedicaidWI

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
I20241127001757 WI Practitioner - Mental Health Counselor 2264897792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake City Counseling, LLCGroup PAC ID 6103995477, 6 clinicians

Practice addresses (Care Compare)

1532 W Broadway
Suite 202
Monona, WI 53713-1828
Phone (608) 661-2829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
15597WIMDAddiction (Substance Use Disorder) Counselor
4628WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calmer Waters Psychotherapy LLC Current Accepting new patients
Lake City Counseling, LLC CurrentSince Nov 7, 2024 Accepting new patients

Locations

1532 W Broadway
Ste 202
Monona, WI 53713
Phone (608) 661-2829

Organizations & group practices 2

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1427358431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-661-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-661-2829",
            "fax_number": "608-661-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOECK",
        "first_name": "MICHAELA",
        "middle_name": "L",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15597",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013316",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.