Gina Ann Lundervold-Foley, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

226-2765 Issued in WI

Practice address

515 22ND Ave
Monroe, WI 53566-1569

Phone

(608) 324-2000

NPI assigned

Nov 19, 2015

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Mental Health Services,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oregon, WI
  • NPI 1801925433
  Medicare reassignment NPD

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1831563444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 UNITED WAY",
            "city": "FREDERIC",
            "state": "WI",
            "postal_code": "548378938",
            "telephone_number": "715-327-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 United Way",
            "address_purpose": "LOCATION",
            "city": "Frederic",
            "state": "WI",
            "postal_code": "548378938",
            "country_code": "US",
            "telephone_number": "715-327-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDERVOLD-FOLEY",
        "first_name": "GINA",
        "middle_name": "ANN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "226-2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Long, MD
• Douglas Longmore, P.T.
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• Melyssa Louwagie, MD
• Jennifer Lu, PHARMD
• Shauna Mackenzie, PHARMD
• Robert B Macnack, M.D.
• Riley Kathleen Magoon, OTD, OTR/L
• Mainstreet Counseling LLC
• Brian D Mamott, PHD

• Professional Counselor in Monroe, WI
• Providers in Monroe, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.