Joel De Witt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4756-125 Issued in WI

Practice address

4225 101St St Unit 580302
Pleasant Prairie, WI 53158-6813

Phone

(262) 320-7740

NPI assigned

Oct 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, IA, WI3 enrollments

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 3

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  IA, OH, WI

  Medicare reassignment Care Compare group NPD
• Joel E de Witt LLC

  • Professional Counselor
  • Cincinnati, OH
  • NPI 1144890112
  NPD Authorized official
• New Life Resources, Inc.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1225061997

  Professional

  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1598091928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 101ST ST # 580302",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531589997",
            "telephone_number": "262-320-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 101ST ST UNIT 580302",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531586813",
            "telephone_number": "262-320-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WITT",
        "first_name": "JOEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15673-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C501198",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4756-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel & Max, LLC
• Nataliia Dauksz, DDS
• Danielle Davis, PT
• Srikanth Davuluri, MD
• Sara Catherine De Angelis, OTR
• Alexxa Decarlo
• Rachael A Deck, RPH
• Alyssa S Deppong, PHYSICIAN ASSISTANT
• Milan Devusic, PT, LAT, CSCS
• Ninad N Dixit, M.D.

• Professional Counselor in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.