Mary Claire Gintoli, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7403-226 Issued in WI

Practice address

5250 S 108TH St
Hales Corners, WI 53130-1321

Phone

(414) 975-1316

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Claire Lartz Former name

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

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.

• Empyrean Ventures Inc

  dba Ellie Mental Health

  • Clinical Social Worker
  • Waukesha, WI
  • NPI 1801637228

  Professional

  Medicare reassignment NPD
• Stigmacure SC

  dba Ellie Mental Health

  • Professional Counselor
  • Hales Corners, WI
  • NPI 1386358596
  Medicare reassignment NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1730954736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301321",
            "telephone_number": "414-975-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301321",
            "telephone_number": "414-975-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTOLI",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7403-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LARTZ",
            "middle_name": "CLAIRE",
            "credential": "LPC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Gahan
• Rebecca Mae Ganshert, OT
• Lynette Anne Gerke, PT
• Boris Gigov, PT, DPT
• Laura Gilden, M.S. CCC-SLP
• Jonathan J Golembiewski, PHARMD
• Carey Lee Grossert, DDS
• Nivia Gianni Guzman, BCBA
• Anna Hahn
• Demitra Hahnfeld, MS, LPC, CRC

• Professional Counselor in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.