Active NPI
Catalina De Luna, LPC-IT, MSE
- Mental Health Counselor
- Menasha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4484-226
- Practice address
- 1478 Kenwood Dr Ste 1
Menasha, WI 54952-1161 - Phone
- (920) 886-9319
- Fax
- (920) 886-9357
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Menasha, WI
- NPI 1538175195
-
- In Home Supportive Care Agency
- Grafton, WI
- NPI 1164834974
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of Wisconsin School of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Alarus Healthcare LLC
Practice addresses (Care Compare)
1971 Washington St
Suite 200
Grafton, WI 53024-2125
Phone (262) 377-6276
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210000198 | WI | Practitioner - Mental Health Counselor | 3779077508 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4484-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alarus Healthcare, LLC | Current | Accepting new patients | |
| Samaritan Counseling Center of the Fox Valley, Inc. | Current | Accepting new patients | |
| Alarus Home Health LLC | Past | Accepting new patients |
Locations
111 Warren St
Ste 2
Beaver Dam, WI 53916
Phone (920) 216-4440
1971 Washington St
Ste 200
Grafton, WI 53024
Phone (262) 377-6276
1478 Kenwood Dr
Ste 1
Menasha, WI 54952
Phone (920) 886-9319
1622 Chestnut St
West Bend, WI 53095
Phone (262) 306-9800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4484-226 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1478 Kenwood Dr Ste 1
Menasha, WI 54952-1161
Mailing address
1478 Kenwood Dr Ste 1
Menasha, WI 54952-1161
Phone (920) 886-9319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2019.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1659912426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1478 KENWOOD DR STE 1",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521161",
"telephone_number": "920-886-9319",
"fax_number": "920-886-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1478 KENWOOD DR STE 1",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521161",
"telephone_number": "920-886-9319",
"fax_number": "920-886-9357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LUNA",
"first_name": "CATALINA",
"credential": "LPC-IT, MSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "4484-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.