David F. Wiltzius, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

780-125 Issued in WI

Practice address

196 3Rd St
Fond Du Lac, WI 54935-4418

Phone

(920) 921-3343

Fax

(920) 921-0989

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sa Limberg IncGroup PAC ID 3476832338, 6 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.

• Sa Limberg, Inc

  • Social Worker
  • Arbor Vitae, WI
  • NPI 1649725888
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811101421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 3RD ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354418",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 3RD ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354418",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZIUS",
        "first_name": "DAVID",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "780-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Williams, APNP
• Sarah Jane Williams, NP
• Shaquiorya M Williams
• Tessa Williamson, L.AC
• Angela Lee Williquette, PTA
• Carrie Windorff
• Kerry A Winget, SLP
• Wink Chiropractic Wellness Center, SC
• Craig S Wink, DC
• Kelly Ann Wink, M.S. CCC-SLP

• Professional Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.