Corrin Elizabeth Van Lanen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10299125 Issued in WI

Practice address

127 N Franklin St Ste 207
Port Washington, WI 53074-1948

Phone

(262) 235-4385

NPI assigned

Nov 14, 2019

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Self Counseling Center LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, WI
  • NPI 1568053874
  NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1912542895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N FRANKLIN ST STE 207",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741948",
            "telephone_number": "414-310-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N FRANKLIN ST STE 207",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741948",
            "telephone_number": "262-235-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LANEN",
        "first_name": "CORRIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "0501216",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10299125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Trimmel, COTA
• Leann Carol Tucker, CERTIFIED NURSING AS
• Catherine L Turner, APNP
• Anjuli Marie Tuscano, PA-C
• Christie Nicole Usher, MSCF-SLP
• Sophia Barbara Voeltz, LPC-IT
• Cheyenne Volm, LPC-IT
• Kaitlyn Voss, M.D.
• Carly Wallner
• Ciara Wardenburg, DPT

• Mental Health Counselor in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.