Individual provider Active NPI

Regina Ann Trollop-Novinska, LCSW

  • Mental Health Counselor
  • Platteville, WI
National Provider Identifier
1447360276
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
384-123 Issued in WI
Practice address
6058 S Chestnut St
Suite 100
Platteville, WI 53818-8947
Phone
(608) 342-4853
Fax
(608) 342-4810
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 384-123 WI Primary

Addresses

Primary practice location

6058 S Chestnut St
Suite 100
Platteville, WI 53818-8947

Mailing address

1160 Lincoln Ave
Fennimore, WI 53809-1746
Phone (608) 822-5052

Other identifiers 1

IdentifierTypeStateIssuer
39613700MedicaidWI

Other names 1

  • Ms. Gina Ann Trollop Other name

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
I20050511000707 WI Practitioner - Clinical Social Worker 3072553775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1160 Lincoln Ave
Fennimore, WI 53809-1746
Phone 6088225052608822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
384-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
GTN Fennimore, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Heartland Integrated Health Wi LLC Past Accepting new patients

Locations

1160 Lincoln Ave
Fennimore, WI 53809
Phone (608) 822-5052

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1447360276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 LINCOLN AVE",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538091746",
            "telephone_number": "608-822-5052",
            "fax_number": "608-996-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058 S CHESTNUT ST",
            "address_2": "SUITE 100",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188947",
            "telephone_number": "608-342-4853",
            "fax_number": "608-342-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLLOP-NOVINSKA",
        "first_name": "REGINA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "384-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39613700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "TROLLOP",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.