Organization Active NPI

Velvaere Mental Health Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stoughton, WI
National Provider Identifier
1770346702
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VELVAERE MENTAL HEALTH CLINIC, LLC
Practice address
100 Business Park Cir Ste 202
Stoughton, WI 53589-5501
Phone
(608) 205-8308
Fax
(608) 719-3418
NPI assigned
Feb 1, 2024
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Veronica M Ellingworth, MS,LPC,SAC,ICSNPI 1528577152
Title
Owner/Office Manager/Clinical Super
Phone
(608) 695-0960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

100 Business Park Cir Ste 202
Stoughton, WI 53589-5501

Mailing address

100 Business Park Cir Ste 202
Stoughton, WI 53589-5501
Phone (608) 205-8308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240606001074 WI Part B Supplier - Clinic/Group Practice 1456893403 Receives reassigned benefits from 3 practitioners
Practice locations: Stoughton, WI

National Provider Directory

National Provider Directory

Locations

100 Business Park Cir
Ste 201
Stoughton, WI 53589
Phone (608) 445-0673

100 Business Park Cir
Ste 202
Stoughton, WI 53589
Phone (608) 205-8308

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1770346702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK CIR STE 202",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535895501",
            "telephone_number": "608-205-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK CIR STE 202",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535895501",
            "telephone_number": "608-205-8308",
            "fax_number": "608-719-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELVAERE MENTAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "ELLINGWORTH",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER/CLINICAL SUPER",
        "authorized_official_telephone_number": "608-695-0960",
        "authorized_official_credential": "MS,LPC,SAC,ICS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.