Individual provider Active NPI

Mary Elizabeth Plouff, LPC, NCC

  • Professional Counselor
  • New Berlin, WI
National Provider Identifier
1508104902
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5535-125 Issued in WI
Practice address
15350 W National Ave Ste 200
New Berlin, WI 53151-5158
Phone
(414) 454-9437
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5535-125 WI Primary

Addresses

Primary practice location

15350 W National Ave Ste 200
New Berlin, WI 53151-5158

Mailing address

PO Box 511482
New Berlin, WI 53151-3282

Other identifiers 1

IdentifierTypeStateIssuer
1508104902MedicaidWI

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
I20240305003306 WI Practitioner - Mental Health Counselor 4082059654 Practice locations: New Berlin, WI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15350 W National Ave
Suite 200
New Berlin, WI 53151-5158
Phone (414) 454-9437

PO Box
Suite 511482
New Berlin, WI 53151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5535-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Plouff Counseling, LLC Professional CurrentSince Apr 25, 2021 Accepting new patients
Family Service Agency of Waukesha County Inc Past Accepting new patients
Family Services of Waukesha Past Accepting new patients

Locations

10777 W Beloit Rd
#9
Greenfield, WI 53228

15350 W National Ave
Ste 200
New Berlin, WI 53151
Phone (414) 454-9437

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1508104902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511482",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 W NATIONAL AVE STE 200",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515158",
            "telephone_number": "414-454-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOUFF",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5535-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508104902",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.